DR. Derec Stanislav, DO

NPI #1295220689 in Blue Springs, Missouri

Provider Information

NPI Number: 1295220689
Entity Type: Individual
Name: DR. Derec Stanislav, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: DO
Enumeration Date: Jun 27, 2018
Last Updated: Jun 27, 2018

Practice Location

Address: 201 NW RD MIZE ROAD
City: Blue Springs
State: Missouri
ZIP Code: 64014
Phone: (816) 655-5426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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