Provider Demographics
NPI:1225136633
Name:STOKES, ROBERT FRASER (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:FRASER
Last Name:STOKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SPRING CREEK LANE
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401
Mailing Address - Country:US
Mailing Address - Phone:724-437-7677
Mailing Address - Fax:724-437-3215
Practice Address - Street 1:300 SPRING CREEK LANE
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401
Practice Address - Country:US
Practice Address - Phone:724-437-7677
Practice Address - Fax:724-437-3215
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049738L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1406815Medicaid
PA1406815Medicaid
F12008Medicare UPIN