Gary E Stanley, M.D.
Pediatrics in Monroe, LA. Individual provider (NPI-1).
NPI number1346249596
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346249596
- Entity type
- Individual (NPI-1)
- Name
- Gary E Stanley
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 022011 | LA | Yes |
Practice location
920 Oliver RdSuite 3
Monroe, LA 71201-5702
Phone 318-323-8824 · Fax 318-323-8823
Mailing address
Po Box 2927Monroe, LA 71207-2927
Phone 318-323-8824 · Fax 318-323-8823
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