| NPI | 1528064102 |
|---|---|
| Professional Name | BILL STAFFORD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MO R3F13) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2012-09-06 |