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Individual

DON OWEN STOVALL JR.

Active
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Individual

DON OWEN STOVALL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
19225
SC
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
19225
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1326287434
MEDICAID DME NPI
SC
01
20076508
SELECT HEALTH DME
SC
05
T31766
SC
Enumeration date
06/30/2006
Last updated
03/11/2020
Update your record

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