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Contact Information

PAMELA S STALLO, MD
63 CORPORATE CENTER DR
SCOTT DEPOT, WV25560-7841
 Phone: 304-691-8870
 Fax: 304-691-1665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PAMELA S STALLO · (Female)

NPI Number 1477554574
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2005
Last updated 12/23/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 16984
  • WV Medicaid 0107899000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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