Individual
DR. BRIAN J STAIRS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1007 COURT YARD PLZ, LATROBE, PA 15650-1838
(724) 539-8517
(724) 879-8024
Mailing address
506 ATHENA DR, PO BOX 98, DELMONT, PA 15626-1005
(724) 468-6869
(724) 468-6207
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
OS010748L
PA
207Q00000X
Family Medicine Physician
Primary
OS-010748-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001409786
HIGHMARK
PA
05
—
0019118590005
—
PA
01
—
165607
MEDPLUS/UNISON
PA
01
—
171447
MEDICARE
PA
01
—
410485
UPMC
PA
01
—
6220124
CIGNA
—
01
—
P00189282
RR MEDICARE
PA
Enumeration date
06/06/2006
Last updated
05/21/2014
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