Fairhaven Family Medicine Ps

NPI 1740425685 - Clinic/Center - 261QM1300X

NPI Details
NPI 1740425685
Enumeration Date 12/05/2008
Last Updated 09/15/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name STEPHEN M STEPHEN
Position OWNER/PHYSICIAN
Phone (360) 755-0311
Fax (360) 755-1272
Practice Location
1030 E FAIRHAVEN AVE
BURLINGTON WA, 98233-2006, US
Phone (360) 755-0311
Fax (360) 755-1272
Business Location
PO BOX 468
BURLINGTON WA, 98233-0468, US
Phone (360) 755-0311
Fax (360) 755-1272
Toxanomy
Taxonomy Code 261QM1300X
License State Washington
License Number MD00023548
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According to our database, Fairhaven Family Medicine Ps NPI is 1740425685, taxonomy code is 261QM1300X and license number is MD00023548, license state is located at Washington. Fairhaven Family Medicine Ps physically located at 1030 E Fairhaven Ave, Burlington WA, 98233-2006. NPI Number 1033115704 has the healthcare provider type.

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1740425685 NPI number is provided on an as is basis without warranty of any kind. 1740425685 is maintained by the National Plan & Provider Enumeration System. The contents of Fairhaven Family Medicine Ps are for informational purposes only.