Individual
BRIAN STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1509 WILSON TER, EMERGENCY DEPARTMENT, GLENDALE, CA 91206-4007
(818) 409-8000
Mailing address
4551 GLENCOE AVE, SUITE 260, MARINA DEL REY, CA 90292-6385
(310) 301-2030
(310) 306-5247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G54809
CA
Other
Enumeration date
06/08/2006
Last updated
09/27/2007
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