NPI 1134192834

Ditra Stanford-Scruggs, DPM

Practitioner Specialist Pikesville, MD

Practice location

Address: 19 Walker Ave Suite # 200, Pikesville, MD 21208-4075
Phone: (410) 653-7744
Fax: (410) 653-7745
Mailing address: 14 Whispering CT, Owings Mills, MD 21117-2469

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 01146 (MD)

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Registry record

NPI: 1134192834
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2006
Record last updated: 20 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.