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1811995517
DOUGLAS L STANFORD
WATERLOO, IA
NPI
1811995517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: IA 21994)
Enumeration Date
2005-07-07
Last Update Date
2007-07-08
Business Address
-- DOUGLAS L STANFORD M.D.
432 KING DR
WATERLOO, IA 50702-5956
Phone number: 319-234-5764
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Mailing Address
-- DOUGLAS L STANFORD M.D.
432 KING DR
WATERLOO, IA 50702-5956
Phone number: 319-234-5764
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