SAMUEL STEVENS MD NPI 1356875777

NPI Information

NPI: 1356875777
Provider Name: SAMUEL STEVENS, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA
ZIP 98431
Phone: (253) 968-1110
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Samuel Stevens, MD is a general practice in Tacoma, WA. Samuel Stevens, MD NPI is 1356875777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA
ZIP 98431-504
Phone: (253) 968-1110

The enumeration date for this NPI number is 4/12/2017 and was last updated on 8/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		0101266576	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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