Individual
NATHAN RUSSELL STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 MADISON AVE # 447, MEMPHIS, TN 38103-3438
(901) 448-5364
Mailing address
920 MADISON AVE # 447, MEMPHIS, TN 38103-3438
(901) 516-7509
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
64804
TN
Other
Enumeration date
04/02/2020
Last updated
05/14/2024
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