Organization
BRUCE A. STAFFORD, DO, PC
Active
Other names
Bruce A. Stafford, DO, PC
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE A. STAFFORD DO (PHYSICIAN)
(405) 390-4280
Entity
Organization
Contact information
Practice address
15809 NE 23RD ST, CHOCTAW, OK 73020-8428
(405) 390-4280
(405) 390-4282
Mailing address
15809 NE 23RD ST, CHOCTAW, OK 73020-8428
(405) 390-4280
(405) 390-4282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3919
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200019750A
—
OK
Enumeration date
10/10/2006
Last updated
09/30/2008
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