Healthcare Provider Details

I. General information

NPI: 1235237058
Provider Name (Legal Business Name): STEPHANIE L. FRAME DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 03/07/2023
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US ROUTES 219 250
MILL CREEK WV
26280-0247
US

IV. Provider business mailing address

PO BOX 247
MILL CREEK WV
26280-0247
US

V. Phone/Fax

Practice location:
  • Phone: 304-335-2050
  • Fax: 304-335-6158
Mailing address:
  • Phone: 304-335-2050
  • Fax: 304-335-6158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1676
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: