JOHN MARTIN STAFFORD

SAINT LOUIS, MO
NPI1942852785
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: GA  9543)
Enumeration Date2019-07-11
Last Update Date2020-08-04
Business Address
MR. JOHN MARTIN STAFFORD A.A.
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6000
Mailing Address
MR. JOHN MARTIN STAFFORD A.A.
339 CONSORT DR
BALLWIN, MO 63011-4439
Phone number: 636-386-9224
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