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NPI Code Detail

MEDICARE: DR. STANLEY E HEATWOLE M.D.

MEDICARE: DR. STANLEY E HEATWOLE M.D.
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
1207P00000XEmergency Medicine Physician0101018611VA

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 : 1659356970
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STANLEY E HEATWOLE M.D.
Provider Business Mailing Address
First Line : 304 COLLEGE CIR
Second Line :
City : STAUNTON
State : VA
Zip : 24401-2311
Country : US
Telephone Number : 540-886-7450
Fax Number : 540-886-4932
Provider Business Practice Location Address
First Line : 1 HEALTH CIR
Second Line :
City : LEXINGTON
State : VA
Zip : 24450-2448
Country : US
Telephone Number : 540-458-3300
Fax Number : 540-458-3366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 06/02/2008

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