| Dr Dennis Clark Stanley, MD | |
|
2204 Wilborn Avenue, South Boston, VA 24592 | |
| (434) 517-3187 | |
| (434) 517-3686 |
| Full Name | Dr Dennis Clark Stanley |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2204 Wilborn Avenue, South Boston, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700945763 | NPI | - | NPPES |
| 002596 | Other | BC | |
| 007242280 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101027902 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dennis Clark Stanley, MD Po Box 340, Halifax, VA 24558 Ph: (434) 575-1683 | Dr Dennis Clark Stanley, MD 2204 Wilborn Avenue, South Boston, VA 24592 Ph: (434) 517-3187 |
Elmer C San Pedro, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3187 Fax: 434-517-3686 | |
Dr. Arash Chehrazi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3100 |