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1114556107
NATHAN RUSSELL STANFORD
MEMPHIS, TN
NPI
1114556107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TN 64804)
Enumeration Date
2020-04-02
Last Update Date
2024-05-14
Business Address
NATHAN RUSSELL STANFORD MD
920 MADISON AVE # 447
MEMPHIS, TN 38103-3438
Phone number: 901-448-5364
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Mailing Address
NATHAN RUSSELL STANFORD MD
920 MADISON AVE # 447
MEMPHIS, TN 38103-3438
Phone number: 901-516-7509
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