Individual
DR. TERRY STANTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MSC 09 5030 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2223
(505) 272-4639
Mailing address
11401 BLOOMFIELD AVE, NORWALK, CA 90650-2015
(562) 521-1152
(562) 651-1201
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A157818
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/02/2014
Last updated
07/22/2019
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