Individual
DIANA GRACE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2021 CONCERT DR STE 202, VIRGINIA BEACH, VA 23456-8083
(757) 668-4980
Mailing address
2021 CONCERT DR STE 202, VIRGINIA BEACH, VA 23456-8083
(757) 668-4980
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
010127929
VA
208000000X
Pediatrics Physician
A150668
CA
208000000X
Pediatrics Physician
D0077878
MD
Other
Enumeration date
06/07/2011
Last updated
12/21/2022
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