Individual
MR. STANLEY DOVER
Active
Individual
MR. STANLEY DOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200001119
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13649
BLUE CROSS
NC
05
—
8913649
—
NC
05
—
N01113
—
SC
01
—
P00171114
MEDICARE OTHER IDENTIFIER
NC
Enumeration date
06/15/2006
Last updated
04/22/2008
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