Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark D Stafford, PAC

Individual provider Surgical Physician Assistant · NPI 1215901657

Mark D Stafford, PAC is a Surgical Physician Assistant in Colorado Springs, Colorado. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

6011 E Woodmen Rd Ste 360
Colorado Springs, CO 80923-2606
Phone: (719) 571-8550
Fax: (719) 571-8555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4110 Briargate Pkwy, Colorado Springs, CO 80920-7835 — (719) 632-7669

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1609 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1609 (CO)

Record details

NPI number1215901657
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESMarch 7, 2018

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