Individual
JAMES STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 2ND AVE, WEST LOGAN, WV 25601-3150
(304) 984-0780
(304) 984-0770
Mailing address
75 2ND AVE, WEST LOGAN, WV 25601-3150
(304) 984-0780
(304) 984-0770
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
WV
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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