Individual
MR. DAVID ALLEN STOKLOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6330 NEWTOWN RD STE 109, NORFOLK, VA 23502-4803
(757) 466-4401
Mailing address
1757 BERNSTEIN DR, VIRGINIA BEACH, VA 23454-6977
(757) 301-7196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0126000615
VA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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