Individual
DR. STANLEY PERECKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 1ST AVE, SMMC EMERGENCY MEDICINE DEPARTMENT, HUNTINGTON, WV 25702-1241
(304) 526-1111
(304) 526-1421
Mailing address
2900 1ST AVE, SMMC EMERGENCY MEDICINE DEPARTMENT, HUNTINGTON, WV 25702-1241
(304) 526-1111
(304) 526-1421
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25044
WV
207Q00000X
Family Medicine Physician
Primary
25044
WV
Other
Enumeration date
08/20/2009
Last updated
07/23/2016
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