JUSTIN STAFFORD

KETTERING, OH
NPI1083168454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50.004770RX)
Enumeration Date2016-08-15
Last Update Date2020-11-19
Business Address
JUSTIN STAFFORD PA-C
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-395-6020
Mailing Address
JUSTIN STAFFORD PA-C
3533 SOUTHERN BLVD SUITE 2100
KETTERING, OH 45429-1264
Phone number: 937-395-8556
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