Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 47952 | AZ |
Y | 213ES0000X | Sports Medicine | 47952 | AZ |
NPI | 1194954859 |
---|---|
Provider Name | Dr. David Brandon Stone |
First Address | Phoenix, AZ 85070-3175 |
Second Address | Phoenix, AZ 85044-6094 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2009 |
Last Update Date | 04/09/2014 |