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Joseph William Stafford JR.
Rural Health Clinic/Center in West Plains, Missouri
NPI 1528064102

Joseph William Stafford JR. is a Rural Health Clinic/Center based in West Plains, MO and is specialized in Rural Health. Joseph William Stafford JR. practices in West Plains, MO. The NPI Number for Joseph William Stafford JR. is 1528064102 and holds a License No. R3F13 (Missouri).

The current practice location address for Joseph William Stafford JR. is 312 N Kentucky Ave, West Plains, MO and can be reached out via phone at 417-257-7076 and via fax at 417-257-1417.

Location: 312 N Kentucky Ave, West Plains, MO, 65775-2073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528064102
Provider Name
Joseph William Stafford JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
312 N Kentucky Ave, West Plains, MO, 65775-2073
Phone Number
417-257-7076
Fax Number
417-257-1417
Provider Enumeration Date
06/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202169405 05 MO
institution
Provider Business Practice Location Address Details
Address
312 N Kentucky Ave
City
West Plains
State
Missouri
Zip
65775-2073
Phone Number
417-257-7076
Fax Number
417-257-1417
person
Provider Business Mailing Address Details
Address
312 N Kentucky Ave
City
West Plains
State
Missouri
Zip
65775-2073
Phone Number
417-257-7076
Fax Number
417-257-1417
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
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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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
R3F13 (Missouri)
Definition
Definition to come...
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