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Organization

JOHN L STAFFORD MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN STAFFORD MD (OWNER)
(812) 254-2400
Entity
Organization

Contact information

Practice address
1401 MEMORIAL AVE STE B, WASHINGTON, IN 47501-3154
(812) 254-2400
(812) 254-3191
Mailing address
1401 MEMORIAL AVE STE B, WASHINGTON, IN 47501-3154
(812) 254-2400
(812) 254-3191

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
07/25/2019
Last updated
09/10/2019
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