Individual
JEFF STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2749 W ROY FURMAN HWY, WAYNESBURG, PA 15370-2557
(724) 747-5875
Mailing address
2749 W ROY FURMAN HWY, WAYNESBURG, PA 15370-2557
(724) 747-5875
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
86-1819842
PA
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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