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Individual

STEPHEN M PETRANY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 MEDICAL CENTER DR, SUITE 1500, HUNTINGTON, WV 25701-3656
(304) 691-1100
(304) 691-1183
Mailing address
1600 MEDICAL CENTER DR, SUITE 1500, HUNTINGTON, WV 25701-3656
(304) 691-1100
(304) 691-1183

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13576
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0056749000
WV
05
0726165
OH
05
64695281
KY
Enumeration date
04/05/2006
Last updated
11/23/2021
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