Individual
STANLEY TYLER DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
197 PLEASANT ST, HINTON, WV 25951-2540
(304) 466-2501
(304) 466-2513
Mailing address
PO BOX 179, NIMITZ, WV 25978-0179
(304) 466-2501
(304) 466-2513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13118
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034320000
—
WV
05
—
0056758000
—
WV
Enumeration date
08/21/2006
Last updated
08/21/2012
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