Individual
MARIE TERESA STANFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
803 E LINCOLN AVE, SUNNYSIDE, WA 98944-2383
(509) 837-6911
(509) 837-6920
Mailing address
PO BOX 577, SUNNYSIDE, WA 98944-0577
(509) 837-6911
(509) 837-6920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00029777
WA
Other
Enumeration date
06/30/2005
Last updated
07/09/2007
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