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Individual

DR. STEPHEN PAUL CROSSLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 GLENN ST, CUMBERLAND, MD 21502-2436
(301) 724-0061
(301) 724-0069
Mailing address
200 GLENN ST, CUMBERLAND, MD 21502-2436
(301) 724-0061
(301) 724-0069

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D025296
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000675640
MSBCBS
WV
01
208302
ANTHEM BCBS
VA
05
3810011629
WV
01
7137759
AETNA
WV
01
92095
UNICARE
WV
01
P00730703
RRMC
WV
Enumeration date
05/19/2006
Last updated
09/26/2009
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