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1942852785
JOHN MARTIN STAFFORD
SAINT LOUIS, MO
NPI
1942852785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 9543)
Enumeration Date
2019-07-11
Last Update Date
2020-08-04
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
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Mailing Address
Mr. JOHN MARTIN STAFFORD A.A.
339 CONSORT DR
BALLWIN, MO 63011-4439
Phone number: 636-386-9224
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