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Individual

DR. GORDON LEE STANFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2356 PASS RD., BILOXI, MS 39531
(228) 388-1376
(228) 388-6359
Mailing address
2356 PASS RD., BILOXI, MS 39531
(228) 388-1376
(228) 388-6359

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0014
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00075220
MS
Enumeration date
12/08/2006
Last updated
07/08/2007
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