Organization Name: | DOUGLAS S. STANLEY, M.D., INC. |
NPI Number: | 1639370588 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS S. STANLEY (M.D.OWNER) |
Mailing Address: | 7780 N Fresno St Suite 102 Fresno |
State: | CA US |
Postal Code: | 937202413 |
Phone Number: | 5594479027 |
Fax Number: | 5594471675 |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A71417 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |