Individual
MR. MICHAEL STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1 PARKLAND DR, DERRY, NH 03038-2746
(901) 831-2500
Mailing address
10 FAIRWAY DR, AMHERST, NH 03031-2715
(901) 831-2500
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
2324
NH
Other
Enumeration date
10/24/2020
Last updated
12/17/2020
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