Individual
MEREDITH STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.006377RX
MEDICAL LICENSE
OH
Enumeration date
04/06/2020
Last updated
11/03/2023
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