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Bill Stafford, M.D.

Pediatrics in West Plains, MO. Organization (NPI-2).

NPI number1124550686
StatusActive
Last updated in NPPESApr 3, 2017

Details

NPI
1124550686
Entity type
Organization (NPI-2)
Legal business name
Bill Stafford, M.D.
Organization subpart
No
Enumeration date
Apr 3, 2017
Last updated
Apr 3, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsR3F13MOYes

Other names

  • Stafford Pediatrics (Doing Business As)

Practice location

312 N Kentucky Ave
West Plains, MO 65775-2073

Phone 417-257-7076 · Fax 417-257-1417

Mailing address

312 N Kentucky Ave
West Plains, MO 65775-2073

Phone 417-257-7076 · Fax 417-257-1417

Authorized official

Bill W Stafford
Owner
4172577076

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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