Individual
MARK L STABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1599 N HERMITAGE RD, HERMITAGE, PA 16148-3180
(724) 962-9622
(724) 962-6027
Mailing address
1599 N HERMITAGE RD, HERMITAGE, PA 16148-3180
(724) 962-9622
(724) 962-6027
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
34002284S
OH
207X00000X
Orthopaedic Surgery Physician
Primary
OS003165L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005954870002
—
PA
05
—
0349304
—
OH
Enumeration date
08/26/2005
Last updated
11/30/2007
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