Individual
DR. GEORGE HAROLD STOVER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
325 MAIN STREET, GREAT BEND, PA 18821
(570) 879-2979
(570) 879-5044
Mailing address
PO BOX 825, GREAT BEND, PA 18821
(570) 879-2979
(570) 879-5044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008738
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001954841
HIGHMARK BCBS
PA
01
—
058708XN3
MEDICARE
PA
05
—
1020423430001
—
PA
Enumeration date
09/01/2006
Last updated
04/05/2011
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