Stephen Wallingfor Price in Kirkland - Physician Assistant

Stephen Wallingfor Price - NPI 1134102312

Stephen Wallingfor Price is a Physician Assistant in Kirkland, Washington. Stephen Wallingfor Price practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephen Wallingfor Price is 1134102312. The last update date is 2009-06-18.

Stephen Wallingfor Price's current location address is 11521 Ne 128th St, Kirkland, Washington. You can contact this provider via phone number 4258996800 and fax number 4258996808. The mailing address for Stephen Wallingfor Price is 11521 Ne 128th St, Kirkland, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Wallingfor Price
Address 11521 Ne 128th St, Kirkland, Washington
Phone Number 4258996800
Fax Number 4258996808
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1134102312
Provider Enumeration Date 2005-11-22
Last Updated Date 2009-06-18

Provider Mailing Address Detail

Address 11521 Ne 128th St
City Kirkland
State Washington (WA)
Post Code 980344317
Phone Number 4258996800
Fax Number 4258996808

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA10002267
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
127276 WA LABOR & INDUSTRIES
8323016 WA --
P00163315 WA MEDICARE RAILROAD

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FAQs about Stephen Wallingfor Price

What is the unique 10-digit identifier code issued to Stephen Wallingfor Price by the Centers for Medicare & Medicaid Services?

The Stephen Wallingfor Price has been assigned the NPI (National Provider Identifier) 1134102312 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Stephen Wallingfor Price's facilities are geographically located?

The facilities of Stephen Wallingfor Price are physically situated at the following location: 11521 Ne 128Th St, Kirkland, WA, 980344317.

What is the area of specialization for Stephen Wallingfor Price, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Stephen Wallingfor Price is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1134102312 to Stephen Wallingfor Price?

The Centers for Medicare & Medicaid Services originally issued the 1134102312 to Stephen Wallingfor Price on 2005-11-22.

When was the information pertaining to Stephen Wallingfor Price most recently updated or revised?

The details related to Stephen Wallingfor Price, including its address, specialty, and other relevant information, were last updated or revised on 2009-06-18.

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