Individual
ANITA R. STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1 STEVENS RD, SUMMERSVILLE, WV 26651-9704
(304) 872-5329
(304) 574-3960
Mailing address
1 STEVENS RD, SUMMERSVILLE, WV 26651-9704
(304) 872-5329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2362
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810016406
—
WV
Enumeration date
07/13/2007
Last updated
10/12/2023
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