Individual
STANFORD PAUL SADICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3908 TWISTED TRAILS, PRESCOTT, AZ 86301-6724
(928) 445-0390
(928) 445-0390
Mailing address
3908 TWISTED TRAILS, PRESCOTT, AZ 86301-6724
(928) 445-0390
(928) 445-0390
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3170
AZ
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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