Individual
MRS. DARLENE M STIBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
95 HARRIS RD, KILMARNOCK, VA 22482-3845
(804) 435-1609
Mailing address
287 PINE REACH DR, KILMARNOCK, VA 22482-3721
(704) 701-7781
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101039978
VA
208600000X
Surgery Physician
Primary
32583
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80035
BCBSNC
NC
05
—
8980035
—
NC
Enumeration date
06/19/2006
Last updated
01/18/2022
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