Individual
ELAINE GAIL STANIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
3841 BRICKWAY BLVD, SANTA ROSA, CA 95403-8226
(707) 569-2300
(707) 569-2383
Mailing address
3841 BRICKWAY BOULEVARD, SANTA ROSA, CA 95403-8210
(707) 569-2300
(707) 569-2383
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3913
CA
213ES0131X
Foot Surgery Podiatrist
E3913
CA
Other
Enumeration date
11/14/2008
Last updated
09/07/2016
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