Healthcare Provider Details

I. General information

NPI: 1255364618
Provider Name (Legal Business Name): GEORGE STEVEN HAMMOND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3407 WAVE DR
EVERETT WA
98203-1245
US

IV. Provider business mailing address

3407 WAVE DR
EVERETT WA
98203-1245
US

V. Phone/Fax

Practice location:
  • Phone: 425-347-6842
  • Fax:
Mailing address:
  • Phone: 425-347-6842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD00025487
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: