DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GEORGE BENNETT STACKHOUSE IV, M.D.

Active

DR. GEORGE BENNETT STACKHOUSE IV, M.D. is a Urology healthcare provider located in TRIPLER ARMY MEDICAL CENTER, Hawaii. NPI 1629093604 is currently active in the NPPES registry. Verify at CMS.

Urology · TRIPLER ARMY MEDICAL CENTER, HI

Registration Details

NPI Number
1629093604
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2006 (20.109811211057 yrs)
Last Updated
Jan 20, 2020
Licenses
G87457 (CA)
04-39757 (KS)
0101047783 (VA)

Practice Information

Address
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI, 968595001
Browse HI providers · Browse ZIP 96859
Phone
8084336661
Primary Specialty
Urology
208800000X
Additional Specialty
Urology
Additional Specialty
Urology

Other Urology Providers in TRIPLER ARMY MEDICAL CENTER, HI

Name Credential NPI
DR. MATTHEW MICHAEL BANTI M.D. 1780909184
BRENT DENN NOSE M.D. 1457887432
DR. TIMOTHY WILLIAM WRIGHT MD 1033675046
DR. LAUREN PHAM KECSKES MURAMOTO MD 1437610839
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.