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Individual

DR. NATHAN C. STEBBINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
200 S FINDLEY ST, PUNXSUTAWNEY, PA 15767-2048
(814) 938-5920
(814) 938-6926
Mailing address
200 S FINDLEY ST, PUNXSUTAWNEY, PA 15767-2048
(814) 938-5920
(814) 938-6926

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG01190PA
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001891449
BLUECROSS BLUE SHIELD
PA
05
1009134120001
PA
01
165781
MEDICARE PTAN
PA
01
397487
NVA NUMBER
PA
01
GATEWAY
50430
PA
01
RAILROAD MEDICARE
RAILROAD MEDICARE
PA
01
SPECTRA
27773
PA
01
UMWA
UMW NUMBER
PA
Enumeration date
08/13/2006
Last updated
01/06/2014
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