STEPHEN M PENDERGRAFT

DOTHAN, AL
NPI1295362408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AL  1-127254)
Enumeration Date2020-03-26
Last Update Date2020-03-26
Business Address
STEPHEN M PENDERGRAFT CRNP
4740 W MAIN ST
DOTHAN, AL 36305-9423
Phone number: 334-793-5000
Mailing Address
STEPHEN M PENDERGRAFT CRNP
95 MAREE DR
DALEVILLE, AL 36322-6228
Phone number: 334-477-1442
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