DUSTIN ALLEN COPELAND STALOCH

GALVESTON, TX
NPI1184011645
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
(Licence: TX  V3437)
Additional Taxonomies207R00000X Internal Medicine
(Licence: GA  77317)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: TX  V3437)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-04-22
Last Update Date2024-11-13
Business Address
Dr. DUSTIN ALLEN COPELAND STALOCH M.D
301 UNIVERSITY BLVD
GALVESTON, TX 77555-2102
Phone number: 409-772-1011
Mailing Address
Dr. DUSTIN ALLEN COPELAND STALOCH M.D
1364 CLIFTON RD NE
ATLANTA, GA 30307-2102
Phone number: