Provider Demographics
NPI:1427104611
Name:STEFL, DONALD JAMES II (DPM)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:JAMES
Last Name:STEFL
Suffix:II
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:PO BOX 4127
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015-0127
Mailing Address - Country:US
Mailing Address - Phone:540-774-5585
Mailing Address - Fax:540-774-5703
Practice Address - Street 1:2705 BRAMBLETON AVE SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24015-4307
Practice Address - Country:US
Practice Address - Phone:540-774-5585
Practice Address - Fax:540-774-5703
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000646213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1427104611Medicaid
43970598OtherAETNA
1728219OtherFIRST HEALTH
VA1427104611Medicaid
VA480000047Medicare PIN