Stephen Dana Fewell in Tacoma - Physician Assistant

Stephen Dana Fewell - NPI 1780722892

Stephen Dana Fewell is a Physician Assistant in Tacoma, Washington. Stephen Dana Fewell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephen Dana Fewell is 1780722892. The last update date is 2012-10-18.

Stephen Dana Fewell's current location address is 4703 Pacific Hwy E, Tacoma, Washington. You can contact this provider via phone number 2539229570 and fax number 2539229587. The mailing address for Stephen Dana Fewell is 4703 Pacific Hwy E, Tacoma, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Dana Fewell
Address 4703 Pacific Hwy E, Tacoma, Washington
Phone Number 2539229570
Fax Number 2539229587
Sole Proprietor N
Credentials P.A.-C.

NPI Number Detail

NPI Number 1780722892
Provider Enumeration Date 2007-02-01
Last Updated Date 2012-10-18

Provider Mailing Address Detail

Address 4703 Pacific Hwy E
City Tacoma
State Washington (WA)
Post Code 98424
Phone Number 2539229570
Fax Number 2539229587

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA10002988
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
127506 WA L & I PIN

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FAQs about Stephen Dana Fewell

What is the Stephen Dana Fewell's 1780722892?

The Stephen Dana Fewell's NPI (National Provider Identifier) Number is 1780722892. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Stephen Dana Fewell's facilities are situated?

The facilities of Stephen Dana Fewell are physically located at the following address: 4703 Pacific Hwy E, Tacoma, WA, 98424.

What is Stephen Dana Fewell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stephen Dana Fewell's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

When was the Stephen Dana Fewell's 1780722892 issued?

The Stephen Dana Fewell's 1780722892 was issued on 2007-02-01.

When was the information pertaining to Stephen Dana Fewell most recently updated or revised?

The details related to Stephen Dana Fewell, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-18.

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