IndividualActive
Michael Stevens
NPI 1164992491 · Independent Duty Corpsman · Fairchild Afb, WA
Provider details
- NPI number
- 1164992491
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
100 Hospital Loop
Fairchild Afb, WA 99011
Phone: (509) 247-5661
Approximate (ZIP-level) locationGet directions
Mailing address
100 Hospital Loop
Fairchild Afb, WA 99011
Registry dates
- Enumerated
- 2018-11-29
- Last updated
- 2018-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.