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Individual

DR. BRAD L STOVIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
815 38TH ST SE, CEDAR RAPIDS, IA 52403-4300
(319) 365-0534
(319) 297-7417
Mailing address
815 38TH ST SE, CEDAR RAPIDS, IA 52403-4300
(319) 365-0534
(319) 297-7417

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7588
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0084855
IA
Enumeration date
02/27/2007
Last updated
07/09/2007
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