Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD21303 | OR |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD21303 | OR |
NPI | 1144277559 |
---|---|
Provider Name | Dr. Stewart L Mones |
First Address | Eugene, OR 97404-3226 |
Second Address | Eugene, OR 97404-3226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 26/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G63058 | (02) |