# DAVID J STANSFIELD DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619207289
- **Authorized official:** KATHLEEN L STANSFIELD (BUSINESS MANAGER)
- **Authorized official phone:** (636) 789-3941

## Contact information

- **Practice address:** 10279 BUSINESS 21, HILLSBORO, MO 63050-3598
- **Practice address phone:** (636) 789-3941
- **Practice address fax:** (636) 789-5603
- **Mailing address:** 10279 BUSINESS 21, HILLSBORO, MO 63050-3598
- **Mailing address phone:** (636) 789-3941
- **Mailing address fax:** (636) 789-5603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R1304 | MO | Yes |

## Other

- **Enumeration date:** 01/05/2010
- **Last updated:** 01/05/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 241985233 | — | MO |