Provider Demographics
NPI:1922088392
Name:STINSON, DARRYL DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DARRYL
Middle Name:DAVID
Last Name:STINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 NW WILSON ST.
Mailing Address - Street 2:RADIOLOGY DEPT
Mailing Address - City:FORT SILL
Mailing Address - State:OK
Mailing Address - Zip Code:73503-9042
Mailing Address - Country:US
Mailing Address - Phone:580-458-2781
Mailing Address - Fax:580-458-2505
Practice Address - Street 1:3009 NW WILSON ST
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:73503-9042
Practice Address - Country:US
Practice Address - Phone:580-458-2781
Practice Address - Fax:580-458-2505
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01160170662085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology