MICHAEL TRACE STAFFORD

BREWTON, AL
NPI1356757991
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: AL  DO.2013)
Enumeration Date2014-07-03
Last Update Date2020-08-05
Business Address
MICHAEL TRACE STAFFORD D.O.
1123 BELLEVILLE AVE
BREWTON, AL 36426-1505
Phone number: 251-867-8001
Mailing Address
MICHAEL TRACE STAFFORD D.O.
1123 BELLEVILLE AVE
BREWTON, AL 36426-1505
Phone number: 251-867-8001
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