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NPI Code Detail

MEDICARE: STANLEY CARR MD

MEDICARE: STANLEY CARR 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
1207V00000XObstetrics & Gynecology Physician35-066727OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114995073
Entity Type Code : Individual
Provider Name (Legal Business Name) : STANLEY CARR MD
Provider Business Mailing Address
First Line : 3832 CHIMNEY HILL DRIVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45241
Country : US
Telephone Number : 513-478-9754
Fax Number :
Provider Business Practice Location Address
First Line : 1922 GLEN SPRINGS DR
Second Line :
City : FREMONT
State : OH
Zip : 43420-3229
Country : US
Telephone Number : 419-333-9043
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 03/29/2017

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