Individual
BRYAN K. STUCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
63 WHARF ST, SUITE 100, MORGANTOWN, WV 26501-5937
(304) 291-3627
(304) 598-3630
Mailing address
63 WHARF ST, SUITE 100, MORGANTOWN, WV 26501-5937
(304) 291-3627
(304) 598-3630
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19964
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550783964004
MT STATE BCBS
WV
05
—
5600374000
—
WV
01
—
WV19964B
HEALTH PLAN
WV
Enumeration date
07/20/2005
Last updated
05/06/2011
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