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NPI Code Detail

MEDICARE: DENNIS LEE STANFORD

MEDICARE: DENNIS LEE STANFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1326907528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS LEE STANFORD
Provider Business Mailing Address
First Line : 727 E WYANDOTTE AVE
Second Line :
City : MCALESTER
State : OK
Zip : 74501-5427
Country : US
Telephone Number : 918-420-5343
Fax Number : 918-420-5904
Provider Business Practice Location Address
First Line : 727 E WYANDOTTE AVE
Second Line :
City : MCALESTER
State : OK
Zip : 74501-5427
Country : US
Telephone Number : 918-420-5343
Fax Number : 918-420-5904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ DENNIS LEE STANFORD ” Practice Location

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