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Organization

THE GOOD DOCTOR, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TROY W STOVALL D.O. (PHYSICIAN)
(219) 365-5405
Entity
Organization

Contact information

Practice address
952 S COURT ST, CROWN POINT, IN 46307-4848
(219) 226-0650
(219) 226-0618
Mailing address
8126 PULASKI ST, SCHERERVILLE, IN 46375-2531
(219) 365-5405

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001581A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100464880B
IN
Enumeration date
02/02/2007
Last updated
11/19/2010
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