Organization
BILL STAFFORD, M.D.
Active
Other names
Stafford Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL W STAFFORD JR. M.D. (OWNER)
(417) 257-7076
Entity
Organization
Contact information
Practice address
312 N KENTUCKY AVE, WEST PLAINS, MO 65775-2073
(417) 257-7076
(417) 257-1417
Mailing address
312 N KENTUCKY AVE, WEST PLAINS, MO 65775-2073
(417) 257-7076
(417) 257-1417
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R3F13
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508351301
—
MO
05
—
598351302
—
MO
Enumeration date
04/03/2017
Last updated
04/03/2017
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