Individual
DR. JOHN G. STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 HUNT CLUB PLZ, RIDGELEY, WV 26753-5213
(304) 726-4501
(304) 726-4051
Mailing address
11 HUNT CLUB PLZ, RIDGELEY, WV 26753-5213
(304) 726-4501
(304) 726-4051
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15011
WV
207P00000X
Emergency Medicine Physician
D23765
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000508728
MT. STATE BC BS
WV
05
—
0049933000
—
WV
01
—
930010527
TRAVELERS MEDICARE
—
01
—
A052JG 42142702
CARE FIRST BC BS
MD
01
—
E458 0008
BLUE CHOICE
DC
Enumeration date
07/20/2005
Last updated
11/21/2009
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