Individual
DR. MATTHEW TIMMINS STAINBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
190 W PARK AVE, STE. 6, DU BOIS, PA 15801-2277
(814) 371-7590
(814) 371-7579
Mailing address
190 W PARK AVE, STE. 6, DU BOIS, PA 15801-2277
(814) 371-7590
(814) 371-7579
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS009810L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001972729002
—
PA
01
—
1548142
GATEWAY HEALTH PLAN
—
01
—
1741708
HIGHMARK BLUE SHIELD
PA
01
—
180789
UNISON HEALTH PLAN
—
01
—
704495
UPMC HEALTH PLAN
—
01
—
7239118
AETNA
—
Enumeration date
06/04/2006
Last updated
11/07/2007
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