Individual
DR. GEORGE TIMOTHY STAFFORD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5800 BLUE SPRUCE AVE, ALAMOSA, CO 81101-9738
(719) 589-0371
(719) 589-0371
Mailing address
5800 BLUE SPRUCE AVE, ALAMOSA, CO 81101-9738
(719) 589-0371
(719) 589-0371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
3235A
WY
208600000X
Surgery Physician
3542
AL
208600000X
Surgery Physician
Primary
37393
CO
208600000X
Surgery Physician
8440
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01373935
—
CO
05
—
0149702
—
MT
Enumeration date
03/15/2007
Last updated
08/13/2009
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