Individual
DR. NEIL KENTON STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(970) 631-9014
Mailing address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(970) 631-9014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2014-01677
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73281042
—
CO
01
—
P00030955
RAILROAD MEDICARE
CO
Enumeration date
07/16/2006
Last updated
04/12/2024
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