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Individual

DR. STANLEY W ADKISSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22387
CO
207R00000X
Internal Medicine Physician
Primary
MD154233
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01223874
CO
05
500639477
OR
01
840428757017
ROCKY MOUNTAIN HEALTH PLA
CO
01
AD376766
BCBS
CO
Enumeration date
06/18/2006
Last updated
08/11/2023
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