Individual
DR. JACOB M STANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60630896
WA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD60630896
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164740403
—
KY
05
—
1164740403
—
WA
Enumeration date
05/11/2010
Last updated
03/22/2021
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