Individual
DR. DWAIN LEE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 FAIRWAY DR, KEOKUK, IA 52632-2103
(507) 269-0879
Mailing address
11 FAIRWAY DR, KEOKUK, IA 52632-2103
(507) 269-0879
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21682
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770559551
—
IA
Enumeration date
02/23/2006
Last updated
07/28/2021
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