Healthcare Provider Details

I. General information

NPI: 1326314618
Provider Name (Legal Business Name): JOEL STONE DVM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2012
Last Update Date: 03/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7227 S PIERCE CT
LITTLETON CO
80128-4515
US

IV. Provider business mailing address

7227 S PIERCE CT
LITTLETON CO
80128-4515
US

V. Phone/Fax

Practice location:
  • Phone: 858-245-3991
  • Fax:
Mailing address:
  • Phone: 858-245-3991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number5252
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: