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Individual

MR. STANLEY WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1215 LEE ST FL 1, CHARLOTTESVILLE, VA 22908-4590
(434) 297-5055
(434) 244-9489
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101234915
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101234915
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10037000
VA
Enumeration date
02/15/2006
Last updated
03/19/2018
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