Individual
DR. DAVID CHARLES STASTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5340
(304) 424-2590
(304) 422-3924
Mailing address
3211 DUDLEY AVE, PARKERSBURG, WV 26104-1813
(304) 422-3904
(304) 422-3924
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1189
WV
207L00000X
Anesthesiology Physician
34006578
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042228000
—
WV
05
—
0756954
—
OH
Enumeration date
09/30/2005
Last updated
10/05/2020
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