Individual
DONNIE R. STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3920 S DUPONT SQ, LOUISVILLE, KY 40207-4615
(502) 721-0116
(812) 285-6010
Mailing address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036-110971
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K008661
—
KY
Enumeration date
08/03/2006
Last updated
01/16/2014
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