Individual
JOHN SAMUEL STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
(501) 202-2093
(501) 202-6316
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 202-2093
(501) 202-6316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
223288
AR
Other
Enumeration date
08/24/2021
Last updated
01/27/2023
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