Individual
ALFRED W.H. STANLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5603
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04151851
—
MS
01
—
051120884
BCBS
AL
01
—
051120885
BCBS
AL
01
—
051120886
BCBS
AL
01
—
051120887
BCBS
AL
05
—
051511938
—
AL
05
—
132827
—
AL
05
—
132828
—
AL
05
—
132829
—
AL
05
—
132830
—
AL
01
—
C78714
VIVA
AL
Enumeration date
06/16/2005
Last updated
02/25/2013
Update your record
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