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Individual

PAUL EDWARD STANSLAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 EAST HWY 18 / PINE RIDGE HOSPITAL, BEHAVIORAL HEALTH DEPT./ INDIAN HEALTH SERVICE, PINE RIDGE, SD 57770-1201
(605) 867-3100
(605) 867-3274
Mailing address
BEHAVIORAL HEALTH DEPT./ INDIAN HEALTH SERVICE, PINE RIDGE HOSPITAL/ EAST HWY 18/ PO BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-3100
(605) 867-3274

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
256385-1
NY
2084P0800X
Psychiatry Physician
Primary
42587
AZ

Other

Enumeration date
03/11/2007
Last updated
04/24/2012
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