Individual
DR. MARC DENTON STAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5147 N 9TH AVE STE 318, PENSACOLA, FL 32504-8710
(850) 416-2965
(850) 416-1833
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME169043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010055431
—
VA
05
—
15573
—
ND
Enumeration date
06/21/2006
Last updated
07/15/2025
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