person
John Wiley Stafford, MD
General Practice Physician in Lafayette, Louisiana
NPI 1831292358

John Wiley Stafford is a General Practice Physician based in Lafayette, LA. John Wiley Stafford practices in Lafayette, LA and has the professional credentials of MD. The NPI Number for John Wiley Stafford is 1831292358 and holds a License No. 013845 (Louisiana).

The current practice location address for John Wiley Stafford is 207 Westmark Blvd, Lafayette, LA and can be reached out via phone at 337-981-6811 and via fax at 337-981-2024. You can also correspond with John Wiley Stafford through the mailing address at 207 WESTMARK BLVD, LAFAYETTE, LA - 70506-7365 (mailing address contact number: 337-981-6811).

Location: 207 Westmark Blvd, Lafayette, LA, 70506-7365
person
Provider Profile Details
NPI Number
1831292358
Provider Name
John Wiley Stafford
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
207 Westmark Blvd, Lafayette, LA, 70506-7365
Phone Number
337-981-6811
Fax Number
337-981-2024
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1171000 05 LA
institution
Provider Business Practice Location Address Details
Address
207 Westmark Blvd
City
State
Zip
70506-7365
Phone Number
337-981-6811
Fax Number
337-981-2024
person
Provider Business Mailing Address Details
Address
207 Westmark Blvd
City
State
Zip
70506-7365
Phone Number
337-981-6811
Fax Number
337-981-2024
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
013845 (Louisiana)
Definition
Definition to come...
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