Individual
JOHN CLYDE STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0002-01119
NC
Other
Enumeration date
10/25/2006
Last updated
05/13/2008
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