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Individual

MISTY M. STAFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
201 US ROUTE 1 # 215, SCARBOROUGH, ME 04074-8127
(207) 200-1943
Mailing address
201 US ROUTE 1, #195, SCARBOROUGH, ME 04074
(207) 200-1943

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD24002
ME
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD24002
ME

Other

Enumeration date
05/23/2013
Last updated
10/09/2025
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