Individual
DR. MARKUS B STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
110 KING ARTHURS RDG, VICKSBURG, MS 39180-9767
(601) 636-0528
(601) 883-0197
Mailing address
110 KING ARTHURS RDG, VICKSBURG, MS 39180-9767
(601) 636-0528
(601) 883-0197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13941
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112135
—
MS
Enumeration date
06/12/2006
Last updated
04/24/2008
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