Organization
CHARLES W. STOTLER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WILBUR STOTLER MD (PHYSICIAN)
(814) 266-8686
Entity
Organization
Contact information
Practice address
334 BLOOMFIELD ST, SUITE 205, JOHNSTOWN, PA 15904-3268
(814) 266-8686
(814) 266-6478
Mailing address
334 BLOOMFIELD ST, SUITE 205, JOHNSTOWN, PA 15904-3268
(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
—
000746700003
—
PA
Enumeration date
03/05/2007
Last updated
04/06/2015
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