Individual
MR. BRENT J STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 872-2432
(513) 872-8857
Mailing address
PO BOX 640738, CINCINNATI, OH 45264-0701
(937) 293-0247
(937) 293-0969
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN328697
OH
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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