Elisabeth M Stafford, M.D. Valid NPI
Individual provider · Pediatric Adolescent Medicine Physician · Fort Sam Houston, TX
- NPI
- 1770565376
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Adolescent Medicine Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2080A0000X
- License number
- 85103 (NM)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-11-18
- Last updated
- 2007-07-08
Practice location
3851 Roger Brooke Dr, Brooke Army Medical Center, Dept O
Fort Sam Houston, TX 78234-6200
(210) 916-4017