| NPI | 1467542183 |
|---|---|
| Doing Business As | STANAFORD MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN JAFARY Director Office Manager 304-256-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-11-19 |