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Individual
DR. STANLEY BROOKE KANTOR
Active
Individual
DR. STANLEY BROOKE KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16370
GA
207Q00000X
Family Medicine Physician
Primary
252070000OP704
WA
207Q00000X
Family Medicine Physician
5101007108
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14428
L I COMP
WA
05
—
1443407
—
WA
Enumeration date
11/13/2006
Last updated
12/07/2007
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