Joseph William Stafford in West Plains - Adolescent Medicine

Joseph William Stafford - NPI 1528064102

Joseph William Stafford is a Adolescent Medicine in West Plains, Missouri. Joseph William Stafford practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Joseph William Stafford is 1528064102. The last update date is 2012-09-06.

Joseph William Stafford's current location address is 312 N Kentucky Ave, West Plains, Missouri. You can contact this provider via phone number 4172577076 and fax number 4172571417. The mailing address for Joseph William Stafford is 312 N Kentucky Ave, West Plains, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph William Stafford
Address 312 N Kentucky Ave, West Plains, Missouri
Phone Number 4172577076
Fax Number 4172571417
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1528064102
Provider Enumeration Date 2005-06-28
Last Updated Date 2012-09-06

Provider Mailing Address Detail

Address 312 N Kentucky Ave
City West Plains
State Missouri (MO)
Post Code 657752073
Phone Number 4172577076
Fax Number 4172571417

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No R3F13
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
202169405 MO --

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FAQs about Joseph William Stafford

What is the unique identification code assigned to Joseph William Stafford by the Centers for Medicare & Medicaid Services?

The Joseph William Stafford has been issued the NPI (National Provider Identifier) 1528064102. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Joseph William Stafford's facilities are geographically located?

The facilities of Joseph William Stafford are physically situated at the following location: 312 N Kentucky Ave, West Plains, MO, 657752073.

What is Joseph William Stafford's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Joseph William Stafford is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 2080A0000X.

On what date did Joseph William Stafford receive its 1528064102 assignment from the Centers for Medicare & Medicaid Services?

The Joseph William Stafford was assigned its 1528064102 on 2005-06-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Joseph William Stafford most recently updated or revised?

The details related to Joseph William Stafford, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-06.

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