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Individual
BRYAN S STAFFORD
Active
Individual
BRYAN S STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
197
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000500
—
WV
Enumeration date
09/28/2006
Last updated
01/12/2026
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