Individual
STARLA MARIE-STILES WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
120 KINGS WAY, SUITE 2700, WILLIAMSBURG, VA 23185-2505
(757) 221-0110
(757) 221-0851
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0102203759
VA
2084N0600X
Clinical Neurophysiology Physician
0102203759
VA
Other
Enumeration date
06/03/2009
Last updated
07/10/2014
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