MR. Edward Allen Stover, CCP

NPI #1407281819 in Wenatchee, Washington

Provider Information

NPI Number: 1407281819
Entity Type: Individual
Name: MR. Edward Allen Stover, CCP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Perfusionist
Credential: CCP
Enumeration Date: Sep 5, 2013
Last Updated: Sep 5, 2013

Practice Location

Address: 1201 S MILLER ST
City: Wenatchee
State: Washington
ZIP Code: 98801-3201
Phone: (509) 665-6211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Perfusionist	242T00000X	Primary

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