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Individual

JULIA M STANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 331-6880
(573) 331-6887
Mailing address
355 JEFFERSON ST, STE GENEVIEVE, MO 63670-1315
(573) 331-6880
(573) 331-6887

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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