Individual
DR. JOEL LEONARD VANDERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 STANTONSBURG RD, PCMH GRADUATE MEDICAL EDUCATION, GREENVILLE, NC 27834-2818
(252) 847-4268
Mailing address
2100 STANTONSBURG RD, PCMH GRADUATE MEDICAL EDUCATION, GREENVILLE, NC 27834-2818
(252) 847-4268
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
54641
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300867
—
AZ
Enumeration date
06/14/2007
Last updated
09/15/2023
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