NPI 1013988294

Andre Byard Stovall, MD

Practitioner Diagnostic Radiology Physician Fort Wayne, IN

Practice location

Address: 5001 US Highway 30 W STE D, Fort Wayne, IN 46818-9701
Phone: (260) 432-1568
Fax: (260) 432-4969
Mailing address: PO Box 80070, Fort Wayne, IN 46898-0070

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 01046801A (IN)

Other Radiology providers in Indiana →

Registry record

NPI: 1013988294
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jan 2006
Record last updated: 7 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.