Provider Demographics
NPI:1346450673
Name:VICTOR G STIEBEL MD LLC
Entity Type:Organization
Organization Name:VICTOR G STIEBEL MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:G
Authorized Official - Last Name:STIEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-657-2420
Mailing Address - Street 1:6350 PHILLIPS AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1808
Mailing Address - Country:US
Mailing Address - Phone:724-657-2420
Mailing Address - Fax:724-657-2420
Practice Address - Street 1:6350 PHILLIPS AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1808
Practice Address - Country:US
Practice Address - Phone:724-657-2420
Practice Address - Fax:724-657-2420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047958L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty