Charles W. Stotler
NPI #1912141748 in Portage, Pennsylvania
Provider Information
- NPI Number
- 1912141748
- Entity Type
- Organization
- Organization Name
- Charles W. Stotler
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Apr 23, 2009
- Last Updated
- Apr 23, 2009
Practice Location
- Address
- 711 CALDWELL AVE
- City
- Portage
- State
- Pennsylvania
- ZIP Code
- 15946-1557
- Phone
- (814) 736-9628
Authorized Official
- Name
- MRS. KAREN M SYBERT, CMA
- Title
- BILLING COORDINATOR
- Phone
- (814) 736-9628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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