Individual
RICHARD J STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 UNIVERSITY AVE W, SUITE 423 SOUTH, SAINT PAUL, MN 55114-1052
(612) 870-5557
(612) 870-5857
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 870-5557
(612) 870-5857
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
26352
MN
Other
Enumeration date
02/20/2006
Last updated
10/30/2007
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