Individual
MR. GARRY B STOVER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 MT CARMEL RD, VINTON, OH 45686
(740) 245-9850
(740) 245-9852
Mailing address
2001 MT CARMEL RD, VINTON, OH 45686
(740) 245-9850
(740) 245-9852
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2547159
—
OH
Enumeration date
02/22/2007
Last updated
07/08/2007
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