SearchWest Virginia347E00000X

James Stafford

NPI 1013488212 · on the registry since 2018 · sole proprietor

Practice

Address
75 2nd Ave
West Logan, WV 25601
Phone
(304) 984-0780
Fax
(304) 984-0770

Registry record

Primary taxonomy
347E00000X
347E00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia