Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 0101019962 | VA |
NPI | 1073556718 |
---|---|
Provider Name | Drury M Stith |
First Address | Newport News, VA 23601-1318 |
Second Address | Nassawadox, VA 23413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 13/03/2014 |