William David Stallone MD

NPI 1558344747 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1558344747
Gender Male
Enumeration Date 11/22/2005
Last Updated 12/16/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1510 FLORIDA AVE
SUITE B
MODESTO CA, 95350-4437, US
Phone (209) 574-1365
Fax (209) 574-1372
Business Location
737 W CHILDS AVE
MERCED CA, 95340-6805, US
Phone (209) 383-1848
Fax (209) 383-1296
Toxanomy
Taxonomy Code 207V00000X
License State California
License Number A23312
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According to our database, Dr. William David Stallone MD NPI is 1558344747, taxonomy code is 207V00000X and license number is A23312, license state is located at California. William David Stallone MD physically located at 1510 Florida Ave, Modesto CA, 95350-4437. NPI Number William David Stallone MD has the Individual type.

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1558344747 NPI number is provided on an as is basis without warranty of any kind. 1558344747 is maintained by the National Plan & Provider Enumeration System. The contents of William David Stallone MD are for informational purposes only.