| NPI | 1023540002 |
|---|---|
| Other Name | DREW STALLARD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-03044) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX R8995) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2024-05-23 |