Individual
ERIC DURELL STACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142 W HIGH ST, WAYNESBURG, PA 15370
(724) 852-1710
(724) 852-1833
Mailing address
142 W HIGH ST, WAYNESBURG, PA 15370
(724) 852-1710
(724) 852-1833
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD037668L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28774
HEALTH ASSURANCE
—
05
—
78008
—
PA
01
—
ST67882
BLUE SHIELD
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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