Provider Demographics
NPI:1275826174
Name:STOVALL, NATALIA A (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:A
Last Name:STOVALL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2060 READING RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1454
Mailing Address - Country:US
Mailing Address - Phone:513-721-3200
Mailing Address - Fax:513-639-3186
Practice Address - Street 1:3301 MERCY HEALTH BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-1104
Practice Address - Country:US
Practice Address - Phone:513-481-5100
Practice Address - Fax:513-481-3880
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2015-07-31
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Provider Licenses
StateLicense IDTaxonomies
OH35121644207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100250760Medicaid
OH0087412Medicaid
KY7100250760Medicaid