Doctor Name: | STANLEY S MOLES |
NPI Number: | 1659353696 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 9287 |
Business Practice Address: | 1345 W Bay Dr Ste 405 Largo, FL - 337702282 |
Business Phone Number: | 7272139888 |
Business Fax Number: | 7276839528 |
Mailing Address: | 1345 W Bay Dr, Ste 405 LARGO |
State: | FL |
Postal Code: | 337702282 |
Phone Number: | 7272139888 |
Fax Number: | 7276839528 |
NPI Enumeration Date: | 11/16/2005 |
NPI Last Update Date: | 12/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 9287 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |