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Individual
AMY HELEN CARRIE STANFORD
Active
Individual
AMY HELEN CARRIE STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD-44292
IA
208000000X
Pediatrics Physician
R-09950
IA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD-44292
IA
Other
Enumeration date
06/09/2014
Last updated
07/08/2021
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