Dr JILLIAN R FOGLESONG STABILE is a female medical professional, specializing in Family Medicine. She graduated in 2007.
DEER PARK FAMILY CARE CLINIC PS
905 E D ST
DEER PARK
WA
990065167
Tel: 5092765005
| Npi | 1518134964 |
| Pac Id | 4284777699 |
| Professional Enrollment Id | I20100208000483 |
| Last Name | FOGLESONG STABILE |
| First Name | JILLIAN |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | DEER PARK FAMILY CARE CLINIC PS |
| Group Practice Pac Id | 1759271836 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 905 E D ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DEER PARK |
| State | WA |
| Zip Code | 990065167 |
| Phone Number | 5092765005 |
| Hospital Affiliation Ccn 1 | 501309 |
| Hospital Affiliation Lbn 1 | PROVIDENCE ST JOSEPH HOSPITAL |
| Hospital Affiliation Ccn 2 | 500077 |
| Hospital Affiliation Lbn 2 | PROVIDENCE HOLY FAMILY HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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