Provider Demographics
NPI:1427184274
Name:HOWELL, STEPHEN MOORE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MOORE
Last Name:HOWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1303 DEER RUN
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-9177
Mailing Address - Country:US
Mailing Address - Phone:304-598-4122
Mailing Address - Fax:304-598-4930
Practice Address - Street 1:3618 HEALTH SCIENCE CENTER SOUTH
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-9134
Practice Address - Country:US
Practice Address - Phone:304-598-4122
Practice Address - Fax:304-598-4930
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV22057207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology