JACK L STUMP

VANCOUVER, WA
NPI1881632677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WA  MD00037100)
Enumeration Date2006-06-03
Last Update Date2012-10-09
Business Address
JACK L STUMP MD
600 NE 92ND AVE
VANCOUVER, WA 98664-3225
Phone number: 360-514-2142
Mailing Address
JACK L STUMP MD
FILE 742997 PO BOX 60000
LOS ANGELES, CA 90074-2997
Phone number: 360-514-2142
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