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1154412435
BRYAN S STAFFORD
PINEVILLE, WV
NPI
1154412435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 197)
Enumeration Date
2006-09-28
Last Update Date
2010-02-10
Business Address
-- BRYAN S STAFFORD PA C
MAIN ST FAMILY HEALTHCARE ASSOC INC
PINEVILLE, WV 24874
Phone number: 304-732-6735
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Mailing Address
-- BRYAN S STAFFORD PA C
PO BOX 1650 FAMILY HEALTHCARE ASSOC INC
PINEVILLE, WV 24874
Phone number: 304-732-6735
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