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NPI Code Detail

MEDICARE: DAVID C STEWART MD

MEDICARE: DAVID C STEWART MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianMD16428OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MD16428OTHEROROBME
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578569968
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID C STEWART MD
Provider Business Mailing Address
First Line : 2200 NE NEFF RD
Second Line : STE 200
City : BEND
State : OR
Zip : 97701-4281
Country : US
Telephone Number : 541-382-3344
Fax Number : 541-382-1681
Provider Business Practice Location Address
First Line : 2200 NE NEFF RD
Second Line : STE 200
City : BEND
State : OR
Zip : 97701-4281
Country : US
Telephone Number : 541-382-3344
Fax Number : 541-382-1681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 08/01/2012

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Directions to “ DAVID C STEWART MD” Practice Location

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