Individual
SAMUEL ELIOT STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 GASKILL DR, AMES, IA 50014-7816
(515) 231-7309
(888) 806-4041
Mailing address
925 GASKILL DR, AMES, IA 50014-7816
(515) 231-7309
(888) 806-4041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40812
IA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
40812
IA
Other
Enumeration date
06/09/2010
Last updated
09/17/2021
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