Individual
DR. KURT R STOCKSTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 HIGHLAND AVE SE, STE 200, ROANOKE, VA 24013-2201
(540) 982-8881
(540) 982-0501
Mailing address
21 HIGHLAND AVE SE, STE 200, ROANOKE, VA 24013-2201
(540) 982-8881
(540) 982-0501
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101045664
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6207936
—
VA
Enumeration date
07/26/2006
Last updated
12/10/2020
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