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General NPI Number Information
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NPI Number | 1679061121
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Entity Type | Individual
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Provider Name | ALEXANDER F STANDIFORD DPM
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Gender | Male
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 600 W SALISBURY ST STE D
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City | ASHEBORO
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State | NC
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Zip | 27203-5591
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Country | US
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Telephone | 336-625-1950
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Fax | 336-625-0980
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Provider Business Mailing Address
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Address Line | 10589 W KL AVE
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City | KALAMAZOO
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State | MI
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Zip | 49009-9350
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0103301350
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 825
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License Number State | NC
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