Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 35-075577 | OH |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 072698 | GA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 35-075577 | OH |
NPI | 1144240219 |
---|---|
Provider Name | Bruce S Stambler |
First Address | Atlanta, GA 30309-1711 |
Second Address | Atlanta, GA 30309-1711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 14/12/2015 |