Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC24226 | CA |
NPI | 1457489098 |
---|---|
Provider Name | Dr. Robert Leonard Stone III |
First Address | Hollister, CA 95023-3901 |
Second Address | Hollister, CA 95023-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 06/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U61034 | (02) | CA |