John R Stanford, M.D.

NPI #1639171499 in Fort Wayne, Indiana

Provider Information

NPI Number
1639171499
Entity Type
Individual
Name
John R Stanford, M.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Credential
M.D.
Enumeration Date
Aug 11, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
2414 E STATE BLVD
Address 2
CAREW BUILDING #1, SUITE 201
State
Indiana
ZIP Code
46805-4760
Phone
(260) 482-4741

Specialties & Taxonomy Codes

Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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