| Stacey Royal | |
|
1106 Ohio River Blvd # 602 Sewickley PA 15143-2048 | |
| (419) 819-0488 | |
| (412) 202-5375 |
| Full Name | Stacey Royal |
|---|---|
| Speciality | Family Medicine |
| Location | 1106 Ohio River Blvd, Sewickley, Pennsylvania |
| Authorized Official Name and Position | Stacey Y Royal (OWNER) |
| Authorized Official Contact | 4198190488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Royal 4017 Washington Rd # 2000 Mc Murray PA 15317-2520 Ph: (412) 202-5375 | Stacey Royal 1106 Ohio River Blvd # 602 Sewickley PA 15143-2048 Ph: (419) 819-0488 |
| NPI Number | 1326024936 |
|---|---|
| Provider Enumeration Date | 12/16/2005 |
| Last Update Date | 07/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326024936 | NPI | - | NPPES |
| 1022563590001 | Medicaid | PA | |
| 2268139 | Medicaid | OH | |
| 1022588090001 | Medicaid | PA | |
| 2750876 | Medicaid | OH |
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