Individual
KARL DONALD STOUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1014 LILLIAN DR, HERMITAGE, PA 16148-1525
(724) 342-3456
Mailing address
1014 LILLIAN DR, HERMITAGE, PA 16148-1525
(724) 342-3456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD008586E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006716690004
—
PA
Enumeration date
11/29/2005
Last updated
11/16/2023
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