NPI 1164624938

David Allen Stanfield, SFIDC

Practitioner Independent Duty Corpsman Stennis Space Center, MS

Practice location

Address: 2606 Lower Gainesville Rd Navsciatts, Stennis Space Center, MS 39529-0001
Phone: (228) 813-4045
Fax: (228) 813-4060

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1164624938
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2007
Record last updated: 8 Jul 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.