Individual
JOSEPH STANLEY RESTIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3535 S I 35 E, DENTON, TX 76210-6850
(940) 384-3810
(940) 565-9588
Mailing address
PO BOX 745390, ATLANTA, GA 30374-5390
(940) 384-3810
(940) 565-9588
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
05-35295
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
U0266
TX
Other
Enumeration date
07/19/2007
Last updated
11/02/2022
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