Individual
DR. DENNIS CLARK STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2204 WILBORN AVENUE, SOUTH BOSTON, VA 24592
(434) 517-3187
(434) 517-3686
Mailing address
PO BOX 340, HALIFAX, VA 24558
(434) 575-1683
(434) 575-1682
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101027902
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002596
BC
—
05
—
007242280
—
VA
Enumeration date
12/06/2006
Last updated
10/15/2010
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