Individual
ROBERT C STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1500
(304) 598-4455
Mailing address
205 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1500
(304) 598-4455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R1601
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
24049
WV
207RP1001X
Pulmonary Disease Physician
Primary
24049
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810027085
—
WV
Enumeration date
07/07/2008
Last updated
04/15/2022
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