Basic Information
| Provider Information | |||||||||
| NPI: | 1356440069 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCKINNON | ||||||||
| FirstName: | STUART | ||||||||
| MiddleName: | JAMES | ||||||||
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| Credential: | M.D., PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | DUKE UNIVERSITY EYE CTR | ||||||||
| Address2: | BOX 3802 ERWIN ROAD | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277100001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196842975 | ||||||||
| FaxNumber: | 9196818267 | ||||||||
| Practice Location | |||||||||
| Address1: | DUKE UNIVERSITY EYE CTR | ||||||||
| Address2: | BOX 3802 ERWIN ROAD | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277100001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196842975 | ||||||||
| FaxNumber: | 9196818267 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 2005-1372 | NC | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.