NPI 1003483793

Josh Dwyer Stafford, PTA

Practitioner Physical Medicine & Rehabilitation Physician Richmond, VA

Practice location

Address: 12401 Gayton Rd, Richmond, VA 23238-2291
Phone: (919) 424-5078
Mailing address: 5816 Park Creste Dr, Glen Allen, VA 23059-2605

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 2306604931 (VA)

Other Physical Medicine & Rehabilitation providers in Virginia →

Registry record

NPI: 1003483793
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2021
Record last updated: 10 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.