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Individual

DEBRA STULTZ

Active
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Individual

DEBRA STULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16672
WV
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
16672
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0115698000
WV
01
1061788
CIGNA BEHAVIORAL HEALTH
01
1346248936
MHNET
01
1346249836
HEALTHNET/TRICARE
01
134634936
MSBCBS
01
271667227
CARELINK/COVENTRY
05
3810018468
WV
01
4510542
AETNA
WV
Enumeration date
07/18/2005
Last updated
10/23/2015
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