Healthcare Provider Details

I. General information

NPI: 1891865630
Provider Name (Legal Business Name): DAVID WAYNE STEDMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3595 NW BUCKLIN HILL RD
SILVERDALE WA
98383
US

IV. Provider business mailing address

PO BOX 483
SILVERDALE WA
98383
US

V. Phone/Fax

Practice location:
  • Phone: 360-698-3140
  • Fax: 360-692-1441
Mailing address:
  • Phone: 360-698-3140
  • Fax: 360-692-1441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00001522
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: