Provider Demographics
NPI:1023349719
Name:SIZELER, STANLEY LEONARD (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:LEONARD
Last Name:SIZELER
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 1:28 SHETLAND LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1615
Mailing Address - Country:US
Mailing Address - Phone:925-372-6422
Mailing Address - Fax:
Practice Address - Street 1:28 SHETLAND LN
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-1615
Practice Address - Country:US
Practice Address - Phone:925-372-6422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACFE235792085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology