Provider Demographics
NPI:1497591739
Name:STOTTLEMYER, DONALD LEE JR (PA)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:LEE
Last Name:STOTTLEMYER
Suffix:JR
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44160 SCHOLAR PLZ STE 100
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-3460
Mailing Address - Country:US
Mailing Address - Phone:540-678-4312
Mailing Address - Fax:
Practice Address - Street 1:44160 SCHOLAR PLZ STE 100
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-3460
Practice Address - Country:US
Practice Address - Phone:540-678-4312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program