IndividualActive
Pamela Stallo, M.D.
NPI 1477554574 · Pediatric Adolescent Medicine Physician · Scott Depot, WV
Provider details
- NPI number
- 1477554574
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 16984 (WV)
Practice location
63 Corporate Center Dr
Scott Depot, WV 25560-7841
Phone: (304) 691-8870
Fax: (304) 691-1665
Mailing address
63 Corporate Center Dr
Scott Depot, WV 25560-7841
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2021-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.