Individual
DR. JASON P. STOPYRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-4195
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200101499
NC
208D00000X
General Practice Physician
2001-01499
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135E5
—
NC
Enumeration date
12/07/2005
Last updated
05/05/2017
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