| Larry D. Stonesifer, M.d., Inc, P.s. | |
|
34509 9th Ave S Ste 200 Federal Way WA 98003-8708 | |
| (253) 927-4777 | |
| (253) 927-6580 |
| Full Name | Larry D. Stonesifer, M.d., Inc, P.s. |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 34509 9th Ave S Ste 200, Federal Way, Washington |
| Authorized Official Name and Position | Larry D. Stonesifer (OWNER) |
| Authorized Official Contact | 2539274777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry D. Stonesifer, M.d., Inc, P.s. 34509 9th Ave S Ste 200 Federal Way WA 98003-8708 Ph: (253) 927-4777 | Larry D. Stonesifer, M.d., Inc, P.s. 34509 9th Ave S Ste 200 Federal Way WA 98003-8708 Ph: (253) 927-4777 |
| NPI Number | 1386863470 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 04/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386863470 | NPI | - | NPPES |
| 7089675 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD00021577 (Washington) | Primary |
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