Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 0101243517 | VA |
NPI | 1023228483 |
---|---|
Provider Name | Christopher Stands |
First Address | Lynchburg, VA 24502-2112 |
Second Address | Lynchburg, VA 24501-1602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 05/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
20-3639329027 | TRICARE (01) | |
20-3639329029 | TRICARE (01) | |
203639329030 | TRICARE (01) | |
356887 | ANTHEM (01) | |
359506 | ANTHEM (01) | |
362159 | ANTHEM (01) |