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Search › Arkansas › 363AM0700X

Jesse Stafford, P.A.-C

NPI 1316338361 · on the registry since 2015

Practice

Address
346 N Main St
Decatur, AR 72722
Phone
(479) 752-3233
Fax
(479) 752-3235
Organisation at this address
Sgoh Acquisition Inc
Spavinaw Clinics, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-02-12

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 Arkansas