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NPI Code Detail

MEDICARE: STEPHEN M HASS MD

MEDICARE:   STEPHEN M HASS  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
12086S0129XVascular Surgery Physician22251WV

General Provider Information

NPI Number : 1275757742
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN M HASS MD
Provider Business Mailing Address
First Line : 3110 MACCORKLE AVE SE
Second Line : DEPT OF SURGERY WVU
City : CHARLESTON
State : WV
Zip : 25304-1210
Country : US
Telephone Number : 304-388-4884
Fax Number : 304-388-4888
Provider Business Practice Location Address
First Line : 3110 MACCORKLE AVE SE
Second Line : DEPT OF SURGERY WVU
City : CHARLESTON
State : WV
Zip : 25304-1210
Country : US
Telephone Number : 304-388-4884
Fax Number : 304-388-4888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 01/06/2011

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