Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 35.082821 | OH |
NPI | 1346313897 |
---|---|
Provider Name | Sharon Beth Stanford |
First Address | Cincinnati, OH 45202-1457 |
Second Address | Cincinnati, OH 45206-2348 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 29/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2530907 | (05) | OH |
I16770 | (02) |