Individual
GERALD N STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7201 W GRANDRIDGE BLVD, KENNEWICK, WA 99336-6709
(509) 783-2222
Mailing address
7203 W DESCHUTES AVE, KENNEWICK, WA 99336-7777
(509) 737-1880
(509) 737-1879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000720
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1137405
—
WA
Enumeration date
05/31/2006
Last updated
07/12/2010
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