Individual
TARA L GUSTILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
434 4TH ST STE 305, NEWPORT, TN 37821-3735
(423) 415-3330
(423) 613-1173
Mailing address
434 4TH ST STE 305, NEWPORT, TN 37821-3735
(423) 415-3330
(423) 613-1173
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35084663
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2557782
—
OH
Enumeration date
06/23/2006
Last updated
12/05/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us