Healthcare Provider Details

I. General information

NPI: 1033642319
Provider Name (Legal Business Name): STEPHEN CARL ABEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR
CLARION PA
16214-8501
US

IV. Provider business mailing address

1 HOSPITAL DR
CLARION PA
16214-8501
US

V. Phone/Fax

Practice location:
  • Phone: 814-226-1970
  • Fax: 814-223-5636
Mailing address:
  • Phone: 814-226-1970
  • Fax: 814-223-5636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberOS021998
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: