Individual
MR. THOMAS FRANKLIN STAMPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 MORRIS STREET, CHARLESTON, WV 25301
(304) 388-6261
(304) 388-3604
Mailing address
101 QUARTERHORSE DRIVE, SCOTT DEPOT, WV 25560
(304) 757-6103
(304) 388-3604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52415
WV
367500000X
Certified Registered Nurse Anesthetist
70070
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2605427000
—
WV
01
—
P00090121
RR MEDICAID
WV
Enumeration date
09/21/2006
Last updated
09/11/2025
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