Individual
MARK D STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
Mailing address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23272
IA
2085R0202X
Diagnostic Radiology Physician
42077-020
WI
Other
Enumeration date
01/25/2006
Last updated
05/06/2014
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