Individual
DR. RUSSELL L STEWART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
406 MAIN ST, SUTTON, WV 26601-1323
(304) 765-2826
(304) 765-2841
Mailing address
HC 61 BOX 56C, FRAMETOWN, WV 26623-9401
(304) 364-4136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
733
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049686000
—
WV
Enumeration date
06/16/2005
Last updated
07/08/2007
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