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NPI Code Detail

MEDICARE: MR. STANLEY DOVER MD

MEDICARE: MR. STANLEY DOVER 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
1207L00000XAnesthesiology Physician200001119NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00171114OTHERNCMEDICARE OTHER IDENTIFIER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
413649OTHERNCBLUE CROSS

General Provider Information

NPI Number : 1346284262
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STANLEY DOVER MD
Provider Business Mailing Address
First Line : PO BOX 12845
Second Line :
City : GASTONIA
State : NC
Zip : 28052
Country : US
Telephone Number : 704-836-2825
Fax Number : 704-866-7853
Provider Business Practice Location Address
First Line : 2525 COURT DRIVE
Second Line :
City : GASTONIA
State : NC
Zip : 28054
Country : US
Telephone Number : 704-834-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 04/22/2008

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Directions to “ MR. STANLEY DOVER MD” Practice Location

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