Individual
CRAIG E STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4574
Mailing address
1500 REDBERRY CT, FORT COLLINS, CO 80525-5543
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
42632
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015419
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/28/2007
Last updated
03/25/2014
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