Provider Demographics
NPI:1699905281
Name:STERN, DONALD R (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:R
Last Name:STERN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E CARY ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-3816
Mailing Address - Country:US
Mailing Address - Phone:804-205-3722
Mailing Address - Fax:804-371-2253
Practice Address - Street 1:400 E CARY ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-3816
Practice Address - Country:US
Practice Address - Phone:804-205-3722
Practice Address - Fax:804-371-2253
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010330512083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine