Individual
MR. DAVID STANLEY STATON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
OVERTON BROOKS VAMC, 510 EAST STONER AVE, SHREVEPORT, LA 71101
(318) 221-8411
(318) 841-4796
Mailing address
124 OAKLAWN DR, BOSSIER CITY, LA 71112-9718
(318) 746-3837
(318) 841-4796
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01700
TX
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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