John R Stephens, MD | |
4410 106th St Sw, Mukilteo, WA 98275-4700 | |
(425) 493-6002 | |
Not Available |
Full Name | John R Stephens |
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Gender | Male |
Speciality | Pediatrics |
Location | 4410 106th St Sw, Mukilteo, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1962470476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 22184 (Washington) | Primary |
Entity Name | Community Health Center Of Snohomish County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730136367 PECOS PAC ID: 0446152003 Enrollment ID: O20040123000395 |
Mailing Address | Practice Location Address |
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John R Stephens, MD Po Box 5127, Everett, WA 98206-5127 Ph: () - | John R Stephens, MD 4410 106th St Sw, Mukilteo, WA 98275-4700 Ph: (425) 493-6002 |
Tessa Commers, Pediatrics Medicare: Medicare Enrolled Practice Location: 4430 106th St Sw Ste 102, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6015 | |
Megan Alysa Beaumont, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4430 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6002 Fax: 425-493-6015 | |
Poonam Rauniyar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4112 Harbour Pointe Blvd Sw, Ste 100, Mukilteo, WA 98275 Phone: 425-347-6330 Fax: 425-347-6335 | |
Sabrina Middleton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4112 Harbour Pointe Blvd Sw, Ste 100, Mukilteo, WA 98275 Phone: 425-347-6330 Fax: 425-347-6335 | |
Deborah L Zaret, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6002 | |
Scott Warren Fetty, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11700 Mukilteo Speedway Ste 201-1142, Mukilteo, WA 98275 Phone: 206-719-4791 | |
Dr. Fatima Nadia Malik, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4430 106th St Sw Ste 102, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6015 |