Provider Demographics
NPI:1871738237
Name:STOKES, DONALD (C-RT(R))
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:STOKES
Suffix:
Gender:M
Credentials:C-RT(R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 CARRINGTON PL
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-2041
Mailing Address - Country:US
Mailing Address - Phone:850-562-1656
Mailing Address - Fax:850-562-7209
Practice Address - Street 1:3717 CARRINGTON PL
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-2041
Practice Address - Country:US
Practice Address - Phone:850-562-1656
Practice Address - Fax:850-562-7209
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCRT22052471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography