Individual
SAMUEL W STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
908 SCARBRO ROAD, SCARBRO, WV 25917-0337
(304) 469-2905
(304) 465-3180
Mailing address
P.O. BOX 337, 908 SCARBRO ROAD, SCARBRO, WV 25917-0337
(304) 469-2905
(304) 465-3180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2363
WV
207Q00000X
Family Medicine Physician
Primary
2363
WV
208M00000X
Hospitalist Physician
2363
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810015743
—
WV
Enumeration date
07/16/2007
Last updated
09/14/2021
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