| Charles W. Stotler, M.d. | |
|
334 Bloomfield St Suite 205 Johnstown PA 15904-3268 | |
| (814) 266-8686 | |
| (814) 266-6478 |
| Full Name | Charles W. Stotler, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 334 Bloomfield St, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Charles Wilbur Stotler (PHYSICIAN) |
| Authorized Official Contact | 8142668686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles W. Stotler, M.d. 334 Bloomfield St Suite 205 Johnstown PA 15904-3268 Ph: (814) 266-8686 | Charles W. Stotler, M.d. 334 Bloomfield St Suite 205 Johnstown PA 15904-3268 Ph: (814) 266-8686 |
| NPI Number | 1134258379 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 04/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134258379 | NPI | - | NPPES |
| 000746700003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD017069E (Pennsylvania) | Primary |
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