Male or Other

Randolph S. Stafford MD

Emergency Medicine Physician in New Orleans, LA(View on Map)

Full Name

Randolph Scott Stafford MD

NPI Number

1073838553

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/29/2010

Specialties

(Taxonomies)

Code

207P00000X

Primary Taxonomy

Yes

Licenses

State

Louisiana

License Number

204878

Contact
Information

Purpose

Mailing
Location

Address

1514 JEFFERSON HWY
1514 JEFFERSON HWY

City

New Orleans
New Orleans

State

LA
LA

Postal Code

70121-2429
70121-2429

Country

US
US

Telephone Number

(504) 842-4000
(504) 842-3460

Identifiers

Identifier

2107640
02501240

Identifier State

LA
MS

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/09/2019

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