Individual
DR. BRIAN A STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 W ASH ST, DEMING, NM 88030-4000
(575) 546-5800
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD2012-0248
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100248370A
—
OK
01
—
348047100
DEPT OF LABOR
OK
01
—
5860324
AETNA
OK
01
—
P00089961
RAILROAD MEDICARE
OK
Enumeration date
10/12/2005
Last updated
09/11/2012
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