Organization
J DEAN STOCKSTILL MD, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DEAN STOCKSTILL MD (PRESIDENT)
(317) 323-7576
Entity
Organization
Contact information
Practice address
3510 MAGNOLIA CV, SUITE 190, MONROE, LA 71203-2372
(318) 323-7576
(318) 322-7131
Mailing address
3510 MAGNOLIA CV, SUITE 190, MONROE, LA 71203-2372
(318) 323-7576
(318) 322-7131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L06937R
LA
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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