Individual
PETER JOSEPH STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1213 E CLAY ST, RICHMOND, VA 23298-5071
(804) 828-3039
(804) 828-0489
Mailing address
10308 RAINTREE COMMONS CT, RICHMOND, VA 23238-4224
(216) 502-1019
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R3390
KY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0116036049
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2013
Last updated
09/29/2021
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