Individual
MR. STEPHEN JOSEPH CROMWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1 MED CENTER DR, LOUIS JOHNSON V.A. MEDICAL CENTER, CLARKSBURG, WV 26301-4155
(304) 623-3461
Mailing address
338 STOUT ST, BRIDGEPORT, WV 26330-1426
(304) 623-3461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00146
WV
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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