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Douglas Stafford, M.D
NPI 1598767196 · on the registry since 2005 · sole proprietor
Practice
- Address
- 2109 N Main St
Coeur D Alene, ID 83814 - Phone
- (208) 676-0104
- Fax
- (208) 765-1893
- Organisation at this address
- Venia, Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2086S0129X
2086S0129X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-18
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 Idaho