Stanford Assistance LLC
NPI #1679206585 in Poolesville, Maryland
Provider Information
- NPI Number
- 1679206585
- Entity Type
- Organization
- Organization Name
- Stanford Assistance LLC
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Jul 7, 2022
- Last Updated
- Jul 7, 2022
Practice Location
- Address
- 18014 BLISS DR
- City
- Poolesville
- State
- Maryland
- ZIP Code
- 20837-2401
- Phone
- (214) 227-2457
Authorized Official
- Name
- JASON STANFORD, PA-C
- Title
- OWNER
- Phone
- (214) 227-2457
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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