Doctor Name: | DR. DITRA STANFORD-SCRUGGS |
NPI Number: | 1134192834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M. |
License Number: | 01146 |
Business Practice Address: | 19 Walker Ave Suite # 200 Pikesville, MD - 212084075 |
Business Phone Number: | 4106537744 |
Business Fax Number: | 4106537745 |
Mailing Address: | 14 Whispering Ct, OWINGS MILLS |
State: | MD |
Postal Code: | 211172469 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/12/2006 |
NPI Last Update Date: | 11/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 01146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |