Provider Demographics
NPI:1811984941
Name:TOLAR, STEWART BLAIR (MD)
Entity type:Individual
Prefix:DR
First Name:STEWART
Middle Name:BLAIR
Last Name:TOLAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2605 KENTUCKY AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-3800
Mailing Address - Country:US
Mailing Address - Phone:270-415-7653
Mailing Address - Fax:270-575-8359
Practice Address - Street 1:2605 KENTUCKY AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-3800
Practice Address - Country:US
Practice Address - Phone:270-443-1220
Practice Address - Fax:270-443-0023
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2016-08-18
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Provider Licenses
StateLicense IDTaxonomies
KY38529207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64082365Medicaid
KYP097841Medicare PIN
KYK097841Medicare PIN
I03319Medicare UPIN
KYP00156146OtherRAILROAD MC
I03319Medicare UPIN