Individual
STANFORD MORRIS VARNADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(800) 863-7441
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A94091
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E0215
—
NM
Enumeration date
03/22/2006
Last updated
03/18/2024
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