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Individual

DR. JEFFREY B STAMBOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2001 VAIL AVE, SUITE 200, CHARLOTTE, NC 28207-1248
(704) 323-2000
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E-10428
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215220546
NC
05
NC2673
SC
Enumeration date
05/19/2011
Last updated
11/30/2017
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