Stanley Lamar Peavy
Stanley Lamar Peavy is a Point of Service in Blue Ash, Ohio. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
11065 Grand AveBlue Ash, OH 45242-2927
Phone: (513) 386-7801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X |
|---|
Record details
| NPI number | 1598006900 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2013 |
| Last updated in NPPES | March 9, 2013 |
| Mailing address | 11065 Grand Ave, Blue Ash, OH 45242-2927 |