Individual
DR. DAVID M STANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 572-3617
(859) 572-2326
Mailing address
PO BOX 638685, CINCINNATI, OH 45263-8685
(877) 882-5644
(833) 643-8146
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32254
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459221
—
OH
05
—
200914600
—
IN
05
—
64055759
—
KY
Enumeration date
08/09/2005
Last updated
04/03/2025
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