Individual
JAMES PATRICK STANNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 884-9063
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
19898
AL
207X00000X
Orthopaedic Surgery Physician
2009024744
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2009024744
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000036624
BLUE CROSS
AL
05
—
000036624
—
AL
05
—
009932278
—
AL
01
—
051528934
BLUE CROSS
AL
01
—
990006333
RAILROAD MEDICARE
AL
01
—
G30839
VIVA
AL
Enumeration date
05/16/2006
Last updated
09/12/2022
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