# STUART TOBIN, P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134309859
- **Authorized official:** STUART TOBIN M.D. (PRESIDENT)
- **Authorized official phone:** (859) 623-4241

## Contact information

- **Practice address:** 351 RADIO PARK DR, SUITE 101, RICHMOND, KY 40475-2454
- **Practice address phone:** (859) 623-4241
- **Practice address fax:** (859) 624-4414
- **Mailing address:** 351 RADIO PARK DR, SUITE 101, RICHMOND, KY 40475-2454
- **Mailing address phone:** (859) 623-4241
- **Mailing address fax:** (859) 624-4414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 18026 | KY | Yes |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 11/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 64180268 | — | KY |