Gary Eugene Stanford in Woodburn - General Practice
Gary Eugene Stanford - NPI 1477696425
Gary Eugene Stanford is a General Practice in Woodburn, Oregon. Gary Eugene Stanford practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary Eugene Stanford is 1477696425. The last update date is 2007-07-09.
Gary Eugene Stanford's current location address is 387 N 5th Street, Woodburn, Oregon. You can contact this provider via phone number 5039823781 and fax number 5039828696. The mailing address for Gary Eugene Stanford is 387 N 5th Street, Woodburn, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Eugene Stanford |
|---|---|
| Address | 387 N 5th Street, Woodburn, Oregon |
| Phone Number | 5039823781 |
| Fax Number | 5039828696 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477696425 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 387 N 5th Street |
|---|---|
| City | Woodburn |
| State | Oregon (OR) |
| Post Code | 970714637 |
| Phone Number | 5039823781 |
| Fax Number | 5039828696 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | MD 13446 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 176909 | OR | -- |
Post Comment/ Review Below
What is the Gary Eugene Stanford's 1477696425?
The Gary Eugene Stanford's NPI (National Provider Identifier) Number is 1477696425. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gary Eugene Stanford?
The Gary Eugene Stanford is physically situated at 387 N 5Th Street, in the city of Woodburn, state of OR, with the postal code 970714637.
What is Gary Eugene Stanford's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Eugene Stanford's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
When did Gary Eugene Stanford receive its 1477696425 assignment?
The Gary Eugene Stanford was assigned its 1477696425 on 2007-02-15, which is the date when this unique identifier was issued to the organization.
When was the information related to Gary Eugene Stanford most recently updated or refreshed?
The details pertaining to the Gary Eugene Stanford, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
NPI Number: 1902809924
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