| Stanfield Family Care | |
|
31 S Stanfield Rd Suite 304 Troy OH 45373-2374 | |
| (937) 339-1518 | |
| (937) 339-1538 |
| Full Name | Stanfield Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 31 S Stanfield Rd, Troy, Ohio |
| Authorized Official Name and Position | Pamela Rader (ADMINISTRATOR) |
| Authorized Official Contact | 9374407454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanfield Family Care Po Box 479 Troy OH 45373-0479 Ph: (937) 339-1518 | Stanfield Family Care 31 S Stanfield Rd Suite 304 Troy OH 45373-2374 Ph: (937) 339-1518 |
| NPI Number | 1982819744 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982819744 | NPI | - | NPPES |
| 2616404 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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