Organization
ORTHOPEDIC ASSOCIATES OF POTTSVILLE
Active
Organization
ORTHOPEDIC ASSOCIATES OF POTTSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN D STOUDT DO (PARTNER)
(570) 622-5672
Entity
Organization
Contact information
Practice address
700 SCHUYLKILL MANOR RD, SUITE 1, POTTSVILLE, PA 17901-3849
(570) 622-5672
(570) 622-6099
Mailing address
PO BOX 510, POTTSVILLE, PA 17901-0510
(570) 622-5672
(570) 622-6099
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074506
HIGHMARK BS
—
01
—
CF3054
TRAVELERS MEDICARE
PA
Enumeration date
08/16/2006
Last updated
10/18/2007
Update your record
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