Individual
DR. CLAY THOMAS STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 442-5399
(318) 442-1586
Mailing address
1444 PETERMAN DR, ALEXANDRIA, LA 71301-3432
(318) 442-5399
(318) 442-1586
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
334685
LA
207L00000X
Anesthesiology Physician
52490
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
334685
LOUISIANA STATE MEDICAL BOARD
LA
Enumeration date
06/12/2018
Last updated
01/12/2023
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