Individual
DR. ROBERT SCOTT STUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8601 LASALLE RD, SUITE 108, TOWSON, MD 21286-2004
(410) 821-6400
(410) 296-4722
Mailing address
8601 LASALLE RD, SUITE 108, TOWSON, MD 21286-2004
(410) 821-6400
(410) 296-4722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1383
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406784300
—
MD
01
—
E6890000
BCBS DC PROVIDER #
DC
01
—
LS06
BCBS MD PROVIDER #
MD
Enumeration date
11/01/2006
Last updated
04/03/2013
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