DR. Fred Joel Standefer JR., DPH

NPI #1396813226 in Pikeville, Tennessee

Provider Information

NPI Number
1396813226
Entity Type
Individual
Name
DR. Fred Joel Standefer JR., DPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
DPH
Enumeration Date
Nov 30, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3051 MAIN STREET
ZIP Code
37367-0150
Phone
(423) 447-2134

Specialties & Taxonomy Codes

Specialty
Pharmacist

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