Individual
SHARON BETH STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
(513) 873-1567
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
35.082821
OH
2084P0800X
Psychiatry Physician
35082821
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2530907
—
OH
Enumeration date
11/15/2006
Last updated
12/29/2021
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