Individual
JULIA M STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME00057974
FL
207R00000X
Internal Medicine Physician
R8A82
MO
208000000X
Pediatrics Physician
ME00057974
FL
208000000X
Pediatrics Physician
Primary
R8A82
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 00057974
STATE OF FLORIDA
FL
01
—
R8A82
MISSOURI LICENSE
MO
Enumeration date
02/19/2007
Last updated
08/15/2007
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