Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD00029635 | WA |
NPI | 1346353042 |
---|---|
Provider Name | Daniel W. Stowens |
First Address | Richland, WA 99352-3521 |
Second Address | Richland, WA 99352-3521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 15/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A15596 | (02) |