Individual
NATHAN DAVID STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
453 W 10TH AVE, COLUMBUS, OH 43210-2205
(614) 292-5645
Mailing address
100 MCMILLEN AVE APT E, COLUMBUS, OH 43201-5700
(216) 970-0387
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/21/2020
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