Individual
CHASE MATTHEW STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
337 HILLWOOD CIR, ALABASTER, AL 35007-8899
(205) 447-0814
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1-187036
AL
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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