DR. Ditra Stanford-Scruggs, D.P.M.

NPI #1134192834 in Pikesville, Maryland

Provider Information

NPI Number: 1134192834
Entity Type: Individual
Name: DR. Ditra Stanford-Scruggs, D.P.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: D.P.M.
Enumeration Date: Feb 12, 2006
Last Updated: Nov 20, 2007

Practice Location

Address: 19 WALKER AVE
Address 2: SUITE # 200
City: Pikesville
State: Maryland
ZIP Code: 21208-4075
Phone: (410) 653-7744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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