Individual
CALVIN D STOUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 SCHUYLKILL MANOR RD, SUITE 1, POTTSVILLE, PA 17901-3849
(570) 622-5672
(570) 622-6099
Mailing address
82 TUNNEL RD, POTTSVILLE, PA 17901-3869
(570) 622-5455
(570) 622-5493
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS007634L
PA
Other
Enumeration date
08/16/2006
Last updated
02/01/2016
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