Individual
STEPHANIE A FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL PARK, WHEELING HOSPITAL INC, WHEELING, WV 26003
(304) 243-3124
Mailing address
65 E CARDINAL AVENUE, WHEELING, WV 26003
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
93
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMERICAN DIETETIC AS
MEMBERSHIP #00727090
—
Enumeration date
10/13/2006
Last updated
07/08/2007
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