Individual
DR. RICHARD STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3617
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
(859) 572-2366
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
03339
KY
207P00000X
Emergency Medicine Physician
34008638
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000291736
BCBS
OH
05
—
201047710
—
IN
05
—
2774798
—
OH
05
—
7100182240
—
KY
Enumeration date
06/11/2007
Last updated
05/07/2015
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