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Individual

STEPHEN ALBRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-4170
Mailing address
1400 HOSPITAL DR, HURRICANE, WV 25526-9202
(800) 875-0136

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01290
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001992182
BLUE CROSS BLUE SHIELD
WV
01
1072344
WV DWC
WV
Enumeration date
09/18/2007
Last updated
01/27/2017
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