Stephen Keith Funkhouser D.O.

NPI 1154600633 - Internal Medicine - 207R00000X

NPI Details
NPI 1154600633
Gender Male
Enumeration Date 08/15/2011
Last Updated 06/02/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
1202 MEDICAL CENTER DRIVE
ATTN: CREDENTIALING
WILMINGTON NC, 28401-7307, US
Phone (910) 341-3300
Fax (910) 251-2067
Business Location
1202 MEDICAL CENTER DRIVE
ATTN: CREDENTIALING
WILMINGTON NC, 28401-7307, US
Phone (910) 341-3300
Fax
Toxanomy
Taxonomy Code 207R00000X
License State West Virginia
License Number ED0177A
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According to our database, Dr. Stephen Keith Funkhouser D.O. NPI is 1154600633, taxonomy code is 207R00000X and license number is ED0177A, license state is located at West Virginia. Stephen Keith Funkhouser D.O. physically located at 1202 Medical Center Drive, Wilmington NC, 28401-7307. NPI Number Stephen Keith Funkhouser D.O. has the Individual type.

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1154600633 NPI number is provided on an as is basis without warranty of any kind. 1154600633 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Keith Funkhouser D.O. are for informational purposes only.