Whalio Doctors

NPI 1053626945

J Dean Stockstill MD, a Professional Medical Corporation

Organisation Family Medicine Physician Monroe, LA

Practice location

Address
3510 Magnolia Cv Suite 190, Monroe, LA 71203-2372
Phone
(318) 323-7576
Fax
(318) 322-7131

Authorised official

Name
James Dean Stockstill
Title
President
Phone
(317) 323-7576

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence L06937R (LA)

Registry record

NPI
1053626945
Entity type
Organization
NPI issued
16 Aug 2010
Record last updated
16 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.