Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 35055544S | OH |
NPI | 1053396812 |
---|---|
Provider Name | Joseph David Stokes JR. |
First Address | Norton, OH 44203-9516 |
Second Address | Norton, OH 44203-9516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 18/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
080015179 | RAILROAD MEDICARE NUMBER (01) | OH |
0933708 | (05) | OH |
E29781 | (02) | OH |