Individual
CHARLES WILBUR STOTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
334 BLOOMFIELD ST, STE 205, JOHNSTOWN, PA 15904
(814) 266-8686
(814) 266-6478
Mailing address
334 BLOOMFIELD ST, STE 205, JOHNSTOWN, PA 15904
(814) 266-8686
(814) 266-6478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD017069E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000746670003
—
PA
Enumeration date
01/27/2006
Last updated
04/06/2015
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