Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN T MEDFORD
Active Sole ProprietorSTEPHEN T MEDFORD is a Podiatric Surgery healthcare provider located in O FALLON, Illinois. NPI 1104437797 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · O FALLON, IL
Registration Details
- NPI Number
- 1104437797
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2020 (6.0142908528219 yrs)
- Last Updated
- Aug 16, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1017 HARTMAN LNO FALLON, IL, 622697207Browse IL providers · Browse ZIP 62269
- Phone
- 6185313007
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Other Podiatric Surgery Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| ASHLEY SMITH | — | 1619681129 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.