Douglas R Stafford in Coeur D Alene - Vascular Surgery
Douglas R Stafford - NPI 1598767196
Douglas R Stafford is a Vascular Surgery in Coeur D Alene, Idaho. Douglas R Stafford practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Douglas R Stafford is 1598767196. The last update date is 2017-01-18.
Douglas R Stafford's current location address is 2109 N Main St, Coeur D Alene, Idaho. You can contact this provider via phone number 2086760104 and fax number 2087651893. The mailing address for Douglas R Stafford is 2109 N Main St, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas R Stafford |
|---|---|
| Address | 2109 N Main St, Coeur D Alene, Idaho |
| Phone Number | 2086760104 |
| Fax Number | 2087651893 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1598767196 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2017-01-18 |
Provider Mailing Address Detail
| Address | 2109 N Main St |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 83814 |
| Phone Number | 2086760104 |
| Fax Number | 2087651893 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | M7604 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Post Comment/ Review Below
What is the unique identifier code issued to Douglas R Stafford by the Centers for Medicare & Medicaid Services?
The Douglas R Stafford has been assigned the NPI (National Provider Identifier) 1598767196. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Douglas R Stafford?
The Douglas R Stafford is situated at 2109 N Main St, in the city of Coeur D Alene, state of ID, with the zip code 83814.
What is Douglas R Stafford's area of expertise and its corresponding taxonomy classification?
The Douglas R Stafford's field of specialization is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their areas of practice.
On what date did Douglas R Stafford receive its 1598767196 assignment from the Centers for Medicare & Medicaid Services?
The Douglas R Stafford was assigned its 1598767196 on 2005-08-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Douglas R Stafford most recently updated or revised?
The information pertaining to Douglas R Stafford, including its address, specialty, and other relevant details, was last updated or revised on 2017-01-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY