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Organization
STANFORD ASSISTANCE LLC
Active
Organization
STANFORD ASSISTANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON STANFORD PA-C (OWNER)
(214) 227-2457
Entity
Organization
Contact information
Practice address
18014 BLISS DR, POOLESVILLE, MD 20837-2401
(214) 227-2457
(214) 764-0880
Mailing address
18014 BLISS DR, POOLESVILLE, MD 20837-2401
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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