NPI 1134613581

Stanley O McCarty

Practitioner Private Vehicle Denver, CO

Practice location

Address: 5325 Blackhawk Way, Denver, CO 80239-6020
Phone: (303) 994-5142

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 95-097-1501 (CO)

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Registry record

NPI: 1134613581
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2018
Record last updated: 19 Jun 2018

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.