Individual
STEPHEN ROBERT STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
320 E 8TH ST, SUITE 142, MARIETTA, OH 45750-3382
(740) 373-4111
(740) 373-4860
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34.006980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000511985
ANTHEM
OH
05
—
2154225
—
OH
05
—
5630128000
—
WV
01
—
P00731312
RRMCR
OH
Enumeration date
10/07/2005
Last updated
04/19/2023
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