NPI 1003558909

Jordan Stafford, MD

Practitioner Student in an Organized Health Care Education/Training Program Louisville, KY

Practice location

Address: 550 S Jackson St Fl 3, Louisville, KY 40202-1622
Phone: (502) 852-5666

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003558909
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2022
Record last updated: 11 Apr 2022

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.