| Stephen B Hillis M.d., P.s.,inc. | |
|
1901 S Cedar St Ste 108 Tacoma WA 98405-2302 | |
| (253) 318-0515 | |
| Not Available |
| Full Name | Stephen B Hillis M.d., P.s.,inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 S Cedar St Ste 108, Tacoma, Washington |
| Authorized Official Name and Position | Stephen B Hillis (OWNER) |
| Authorized Official Contact | 2533180515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen B Hillis M.d., P.s.,inc. 7223 Interlaaken Dr Sw Lakewood WA 98499-1806 Ph: (253) 318-0515 | Stephen B Hillis M.d., P.s.,inc. 1901 S Cedar St Ste 108 Tacoma WA 98405-2302 Ph: (253) 318-0515 |
| NPI Number | 1871998138 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 10/29/2014 |
| Medicare PECOS PAC ID | 3476867516 |
|---|---|
| Medicare Enrollment ID | O20150803000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871998138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephen B Hillis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356314967 PECOS PAC ID: 2769516939 Enrollment ID: I20100810001106 |
| Provider Name | Molly C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457861114 PECOS PAC ID: 1456610518 Enrollment ID: I20180117001881 |
| Provider Name | Julie Ann Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053864652 PECOS PAC ID: 7315270998 Enrollment ID: I20190613001579 |
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