Individual
SEAN MICHAEL STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1365
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1365
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102205861
VA
208D00000X
General Practice Physician
DOS-1352
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/09/2009
Last updated
08/30/2021
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