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Individual

JEFFREY E. STOEBER

Active
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Individual

JEFFREY E. STOEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13942
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275610
CIGNA ID
SC
01
—
4417535
AETNA ID
SC
01
—
571004971001
BCBS OF SC ID
SC
05
—
TL3662
—
SC
Enumeration date
06/09/2006
Last updated
05/20/2021
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