Individual
DR. ANDREA ELIZABETH STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1245 S UTICA AVE, TULSA, OK 74104-4214
(918) 382-2567
(918) 579-2511
Mailing address
1245 S UTICA AVE, TULSA, OK 74104-4214
(918) 382-2567
(918) 579-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25519
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20113990A
—
OK
Enumeration date
05/07/2007
Last updated
05/06/2014
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