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NPI Code Detail

MEDICARE: REBECCA L STUMPF MD

MEDICARE: REBECCA L STUMPF MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD027408EPA

General Provider Information

NPI Number : 1174501399
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA L STUMPF MD
Provider Business Mailing Address
First Line : 3530 PEACH ST
Second Line : SUITE LL1
City : ERIE
State : PA
Zip : 16508-2768
Country : US
Telephone Number : 814-860-5000
Fax Number :
Provider Business Practice Location Address
First Line : 4950 BUFFALO RD
Second Line :
City : ERIE
State : PA
Zip : 16510-2304
Country : US
Telephone Number : 814-899-7000
Fax Number : 814-897-9737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 02/07/2008

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