Individual
PHILLIP STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1240 HUFFMAN MILL RD, EMERGENCY DEPARTMENT, BURLINGTON, NC 27215-8700
(336) 538-7050
Mailing address
DEPT OF EMERGENCY MED WFBMC, MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-1089
(336) 716-1896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2014-00182
NC
Other
Enumeration date
06/06/2011
Last updated
07/18/2015
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