Individual
WILLIAM ALVIN STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1272 W MAIN ST STE 401, NEWARK, OH 43055-2056
(220) 564-1750
(220) 564-1751
Mailing address
1272 W MAIN ST STE 401, NEWARK, OH 43055-2056
(220) 564-1750
(220) 564-1751
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35-059328
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0768094
—
OH
Enumeration date
03/29/2006
Last updated
02/20/2017
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