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Individual

DR. STEPHEN KIRBY MILROY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3100 MCCORKLE AVE SE, STE 809, CHARLESTON, WV 25304-1223
(304) 345-0280
(304) 346-9727
Mailing address
3100 MCCORKLE AVE SE, STE 809, CHARLESTON, WV 25304-1223
(304) 345-0280
(304) 346-9727

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
09883
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004242092
AETNA
01
001719615
MT STATE BCBS
05
0070246000
WV
01
14208
CARELINK
01
2502480C2
OPTIMUM CHOICE
01
250248ML2
MAMSI
01
550571386
ACORDIA
WV
01
550571386
CIGNA
Enumeration date
04/18/2006
Last updated
04/17/2008
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