Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 01082812A | IN |
N | 207VX0201X | Gynecologic Oncologist | 51437 | CO |
N | 207VX0201X | Gynecologic Oncologist | A88574 | CA |
NPI | 1144421009 |
---|---|
Provider Name | Dr. Pamela Joybirkholz Stone |
First Address | Goshen, IN 46526-4810 |
Second Address | Goshen, IN 46526-4810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 19/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
166323001 | (05) | AR |
300031687 | (05) | IN |
90536355 | (05) | CO |
H82368 | (02) | IA |