Individual
EDWARD G. STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
184 S MAYO TRL, PIKEVILLE, KY 41501-1518
(606) 218-4800
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 218-4773
(606) 218-4562
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
02137
KY
207Q00000X
Family Medicine Physician
02137
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221139
ANTHEM
KY
05
—
64050818
—
KY
Enumeration date
02/03/2007
Last updated
10/03/2016
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