Provider Demographics
NPI:1275757742
Name:HASS, STEPHEN M (MD)
Entity Type:Individual
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First Name:STEPHEN
Middle Name:M
Last Name:HASS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3110 MACCORKLE AVE SE
Mailing Address - Street 2:DEPT OF SURGERY WVU
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1210
Mailing Address - Country:US
Mailing Address - Phone:304-388-4884
Mailing Address - Fax:304-388-4888
Practice Address - Street 1:3110 MACCORKLE AVE SE
Practice Address - Street 2:DEPT OF SURGERY WVU
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1210
Practice Address - Country:US
Practice Address - Phone:304-388-4884
Practice Address - Fax:304-388-4888
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2011-01-06
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Provider Licenses
StateLicense IDTaxonomies
WV222512086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery