Organization
STIBAL SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARLENE M STIBAL MD (OWNER/PHYSICIAN)
(704) 983-3500
Entity
Organization
Contact information
Practice address
303C YADKIN ST, ALBEMARLE, NC 28001-3441
(704) 983-3500
(704) 983-3763
Mailing address
303C YADKIN ST, ALBEMARLE, NC 28001-3441
(704) 983-3500
(704) 983-3763
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
32583
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80035
BCBSNC
NC
05
—
8980035
—
NC
Enumeration date
10/31/2007
Last updated
12/29/2009
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