Individual
JOSEPH WILLIAM STAFFORD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 N KENTUCKY AVE, WEST PLAINS, MO 65775-2073
(417) 257-7076
(417) 257-1417
Mailing address
312 N KENTUCKY AVE, WEST PLAINS, MO 65775-2073
(417) 257-7076
(417) 257-1417
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
R3F13
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202169405
—
MO
Enumeration date
06/28/2005
Last updated
09/06/2012
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