Individual
DR. SALLY ROBERTSON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 HOYLMAN DR, GASSAWAY, WV 26624-9321
(304) 364-1093
Mailing address
HC 61 BOX 56C, FRAMETOWN, WV 26623-9401
(304) 364-4136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
734
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049676000
—
WV
Enumeration date
08/19/2006
Last updated
07/09/2007
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