Individual
JEFFREY STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
476 S MAIN ST, ANDOVER, OH 44003-9602
(330) 841-4000
(330) 656-5901
Mailing address
5700 DARROW RD, SUITE 106, HUDSON, OH 44236-5021
(330) 656-5911
(330) 656-5901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35065864
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000269018
ANTHEM
OH
01
—
000000269069
ANTHEM
OH
01
—
000000385522
ANTHEM
OH
01
—
001525638-0003
PENNSYLVANIA MEDICAID
OH
05
—
0960152
—
OH
01
—
N367365
WELLCARE
OH
Enumeration date
12/28/2005
Last updated
06/11/2008
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