Provider Demographics
NPI:1164274460
Name:KARZON, STANLEY SR (DD)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:
Last Name:KARZON
Suffix:SR
Gender:M
Credentials:DD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 3RD ST SW
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-4022
Mailing Address - Country:US
Mailing Address - Phone:240-330-3518
Mailing Address - Fax:
Practice Address - Street 1:539 3RD ST SW
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-4022
Practice Address - Country:US
Practice Address - Phone:701-805-1514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care