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NPI Code Detail

MEDICARE: MOLLY STALONS MD

MEDICARE:   MOLLY  STALONS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician0101280762VA

General Provider Information

NPI Number : 1396495032
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY STALONS MD
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-4730
Fax Number :
Provider Business Practice Location Address
First Line : SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZPL-A,
Second Line : 3551 ROGER BROOKE DR.
City : JBSA-FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-6807
Fax Number : 210-916-4530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2022
Last Update Date : 06/15/2026

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Directions to “ MOLLY STALONS MD” Practice Location

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