Provider Demographics
NPI:1386321719
Name:STONE, ANDREW BRYAN
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:BRYAN
Last Name:STONE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4508 W SEMINARY AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-5008
Mailing Address - Country:US
Mailing Address - Phone:804-385-3915
Mailing Address - Fax:
Practice Address - Street 1:10672 E CAMINO PALO VERDE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-8132
Practice Address - Country:US
Practice Address - Phone:804-380-2805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health