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NPI Code Detail

MEDICARE: DARNELL STOVALL

MEDICARE: DARNELL STOVALL
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
1175T00000XPeer SpecialistPRS.007924OH

General Provider Information

NPI Number : 1396676474
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARNELL STOVALL
Provider Business Mailing Address
First Line : 131 WERTZ AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44708-4171
Country : US
Telephone Number : 234-214-8471
Fax Number :
Provider Business Practice Location Address
First Line : 131 WERTZ AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44708-4171
Country : US
Telephone Number : 234-214-8470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ DARNELL STOVALL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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