Individual
RANDOLPH SCOTT STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, DEPT OF EMERGENCY MEDICINE- 5TH FLOOR, NEW ORLEANS, LA 70121-2429
(504) 842-3460
Mailing address
1514 JEFFERSON HWY, DEPT OF EMERGENCY MEDICINE- 5TH FLOOR, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
204878
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02501240
—
MS
05
—
2107640
—
LA
Enumeration date
03/29/2010
Last updated
12/09/2019
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