Individual
MR. STANLEY KURLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
HIGHWAY 264 MILE POST 388, POLACCA, AZ 86042-4000
(928) 737-6000
(928) 737-6080
Mailing address
PO BOX 4000, ROUTE 264 MILE POST 388, POLACCA, AZ 86042-4000
(928) 737-6000
(928) 737-6080
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0526
AZ
363A00000X
Physician Assistant
Primary
5088
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020529
—
AZ
Enumeration date
04/21/2006
Last updated
10/23/2013
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