Stephen T Medford

NPI #1104437797 in O Fallon, Illinois

Provider Information

NPI Number
1104437797
Entity Type
Individual
Name
Stephen T Medford
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Aug 16, 2020
Last Updated
Aug 16, 2020

Practice Location

Address
1017 HARTMAN LN
ZIP Code
62269-7207
Phone
(618) 531-3007

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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