Individual
BENJAMIN L STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
80 HIGHLAND STREET, LACONIA, NH 03246-3235
(603) 524-3211
(660) 826-4852
Mailing address
PO BOX 190, LACONIA, NH 03247-0190
(603) 524-3211
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
065099-23
NH
367500000X
Certified Registered Nurse Anesthetist
213865
NC
Other
Enumeration date
10/19/2010
Last updated
09/13/2011
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