Individual
SCOTT J STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRESHAM DR, SENTARA NORFOLK GEN HOSPITAL PATHOLOGY DEPT, NORFOLK, VA 23507-1904
(757) 388-3221
(757) 388-3799
Mailing address
PO BOX 20452, PSMG-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101050398
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6605885
—
VA
Enumeration date
05/03/2006
Last updated
06/05/2014
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