NPI | 1396836649 |
---|---|
Doing Business As | STAFFORD PEDIATRICS |
Entity Type | Organization |
Authorized Contact | BILL W STAFFORD Owner 417-257-7076 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2006-09-28 |
Last Update Date | 2017-03-30 |