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Individual

STANLEY NEIL THORNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6701 AIRPORT BLVD, SUITE D-330, MOBILE, AL 36608-6705
(251) 607-9797
(251) 639-0940
Mailing address
6701 AIRPORT BLVD, SUITE D-330, MOBILE, AL 36608-6705
(251) 607-9797
(251) 639-0940

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD200168
LA
207RC0000X
Cardiovascular Disease Physician
15460
MS
207RI0011X
Interventional Cardiology Physician
Primary
30866
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08132814
MS
05
1091502
LA
01
110183045
RAILROAD
MS
01
7185084
AETNA
Enumeration date
05/16/2007
Last updated
04/24/2015
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