Individual
DR. ELISABETH M STAFFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3851 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER, DEPT O, FORT SAM HOUSTON, TX 78234-6200
(210) 916-4017
(210) 916-1740
Mailing address
36 CHAMPIONS WAY, SAN ANTONIO, TX 78258-4810
(210) 481-1933
(210) 481-1933
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
85103
NM
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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