Individual provider · Type 1 NPI
Peter Malcolm Stanford, PA-C
Medical Physician Assistant · Goldsboro, MD
NPI number
1770822348
Active
Practice location
316 Railroad Ave
Goldsboro, MD 21636-1126
Fax (410) 482-7488
Mailing address
301 Randolph St
Denton, MD 21629-1243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C04049 (MD) |
Medical Physician Assistant: Definition to come...
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About NPI 1770822348
Peter Malcolm Stanford, PA-C's National Provider Identifier is 1770822348, issued on Feb 2, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Goldsboro, MD. The record was last updated on Oct 19, 2015.