Provider Demographics
NPI:1376642819
Name:STROUD, STEVE G (ND LAC)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:G
Last Name:STROUD
Suffix:
Gender:M
Credentials:ND LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 SOUTH MISSION STREET
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801
Mailing Address - Country:US
Mailing Address - Phone:509-663-4365
Mailing Address - Fax:509-665-3869
Practice Address - Street 1:310 SOUTH MISSION STREET
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801
Practice Address - Country:US
Practice Address - Phone:509-663-4365
Practice Address - Fax:509-665-3869
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000252171100000X
WANT00000555175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath