Individual
MRS. MINNIE Z STIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2110 HARTFORD RD STE C, HAMPTON, VA 23666-6600
(757) 827-1661
(757) 827-8673
Mailing address
2110 HARTFORD RD STE C, HAMPTON, VA 23666-6600
(757) 827-1661
(757) 827-8673
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101026001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6716555
—
VA
Enumeration date
10/12/2006
Last updated
07/08/2007
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