Individual
DR. STANLEY E HEATWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HEALTH CIR, LEXINGTON, VA 24450-2448
(540) 458-3300
(540) 458-3366
Mailing address
304 COLLEGE CIR, STAUNTON, VA 24401-2311
(540) 886-7450
(540) 886-4932
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101018611
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005856817
—
VA
Enumeration date
12/09/2005
Last updated
06/02/2008
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