Stephen M Durch, MD | |
24920 104th Ave Se, Kent, WA 98030-6443 | |
(425) 690-3420 | |
(425) 690-9420 |
Full Name | Stephen M Durch |
---|---|
Gender | Male |
Speciality | Family Medicine - Adult Medicine |
Location | 24920 104th Ave Se, Kent, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841228426 | NPI | - | NPPES |
1045883 | Medicaid | WA | |
G8891461 | Other | WA | MEDICARE - VALLEY MEDICAL GROUP |
8198566 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00034271 (Washington) | Secondary |
207QA0505X | Family Medicine - Adult Medicine | MD00034271 (Washington) | Primary |
Entity Name | Valley Medical Group-renton |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
Mailing Address | Practice Location Address |
---|---|
Stephen M Durch, MD 3600 Lind Ave Sw, Suite 100, Renton, WA 98055-4934 Ph: (425) 690-2715 | Stephen M Durch, MD 24920 104th Ave Se, Kent, WA 98030-6443 Ph: (425) 690-3420 |
Daniela Jordanova Sorokovska, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 222 State Ave N, Kent, WA 98030 Phone: 253-372-7866 | |
Von Chang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 State Ave N, Kent, WA 98030 Phone: 253-372-7866 | |
Dr. Sheri Lynn Peterson-buckley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 253-395-2000 Fax: 253-395-1956 | |
Thomas Michael Mccown Jr., DO Family Medicine Medicare: Medicare Enrolled Practice Location: 26004 104th Ave Se, Kent, WA 98030 Phone: 800-422-2844 Fax: 877-514-9952 | |
Phuc T Phung, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 253-395-2000 Fax: 253-395-1946 | |
Matthew Julian Duenas, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 425-690-3420 Fax: 425-690-9420 | |
Dr. Jinny Kim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E Meeker St Ste 200, Kent, WA 98030 Phone: 253-852-2866 |