Individual provider · Type 1 NPI
Charles Douglas Stewart, PA C
Medical Physician Assistant · Scott Depot, WV
NPI number
1548294440
Active
Practice location
111 Beechwood Est
Scott Depot, WV 25560-9723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 00071 (WV) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Scott Depot
About NPI 1548294440
Charles Douglas Stewart, PA C's National Provider Identifier is 1548294440, issued on Jul 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Scott Depot, WV. The record was last updated on Aug 23, 2019.