Mr. Phillip Clayon Stafford
Mr. Phillip Clayon Stafford is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
7213 Chesterton DrLas Vegas, NV 89128-3121
Phone: (702) 754-9136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1376083220 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 26, 2017 |
| Last updated in NPPES | August 5, 2021 |
| Certification date | August 5, 2021 |
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