Search › Tennessee › 208000000X
Stanley Park, MD
NPI 1235294943 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5300 Clinton Plaza Drive
Knoxville, TN 37912 - Phone
- (865) 688-7563
- Fax
- (865) 688-6252
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee