Bruce A. Stafford, Do, PC

NPI #1639267362 in Choctaw, Oklahoma

Provider Information

NPI Number: 1639267362
Entity Type: Organization
Organization Name: Bruce A. Stafford, Do, PC
Primary Specialty: Family Medicine
Enumeration Date: Oct 10, 2006
Last Updated: Sep 30, 2008

Practice Location

Address: 15809 NE 23RD ST
City: Choctaw
State: Oklahoma
ZIP Code: 73020-8428
Phone: (405) 390-4280

Authorized Official

Name: BRUCE A. STAFFORD, DO
Title: PHYSICIAN
Phone: (405) 390-4280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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