Organization
DRS MOORE & STOCKSTILL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT ROBERT STOCKSTILL MD (PRESIDENT)
(540) 345-3556
Entity
Organization
Contact information
Practice address
5104 BERNARD DR, SUITE 301, ROANOKE, VA 24018-4349
(540) 904-7710
Mailing address
5115 BERNARD DR, SUITE 301, ROANOKE, VA 24018-4357
(540) 345-3556
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
101045664
VA
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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