NPI | 1235101536 |
---|---|
Professional Name | STANLEY SCOTT OLEXY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110002649) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9103313) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2009-03-11 |