David C Stanford Md Inc | |
29798 Haun Rd Ste 308 Sun City CA 92586-6541 | |
(951) 301-7611 | |
(951) 301-7616 |
Full Name | David C Stanford Md Inc |
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Speciality | Internal Medicine |
Location | 29798 Haun Rd, Sun City, California |
Authorized Official Name and Position | David Carson Stanford (DOCTOR) |
Authorized Official Contact | 9513017611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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David C Stanford Md Inc 29798 Haun Rd Ste 308 Sun City CA 92586-6541 Ph: (951) 301-7611 | David C Stanford Md Inc 29798 Haun Rd Ste 308 Sun City CA 92586-6541 Ph: (951) 301-7611 |
NPI Number | 1346437068 |
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Provider Enumeration Date | 09/26/2007 |
Last Update Date | 03/05/2008 |
Medicare PECOS PAC ID | 1759353485 |
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Medicare Enrollment ID | O20040811001440 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346437068 | NPI | - | NPPES |
00G616790 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | David C Stanford |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568464923 PECOS PAC ID: 0244124923 Enrollment ID: I20040217000754 |
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