Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 34.007959 | OH |
NPI | 1619998135 |
---|---|
Provider Name | Joseph Anthony Stoker |
First Address | Akron, OH 44308-1063 |
Second Address | Boardman, OH 44512-3457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 27/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2374872 | (05) | OH |
942460636050 | CARESOURCE (01) | OH |
E48173 | (02) | OH |