| Doctor Name: | DR. BRIAN STANTON |
| NPI Number: | 1053305300 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 1342 |
| Business Practice Address: | 4881 Sugar Maple Dr Orthopedics And Podiatry Wright Patterson Afb, OH - 454335529 |
| Business Phone Number: | 9372579416 |
| Business Fax Number: | |
| Mailing Address: | 4881 Sugar Maple Dr, Orhtopedics And Podiatry WRIGHT PATTERSON AFB |
| State: | OH |
| Postal Code: | 454335529 |
| Phone Number: | 9372579416 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2005 |
| NPI Last Update Date: | 09/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 1342 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |