NPI 1730788373

Michael Stafford, CSA

Practitioner Surgical Assistant Derry, NH

Practice location

Address: 1 Parkland Dr, Derry, NH 03038-2746
Phone: (901) 831-2500
Mailing address: 10 Fairway Dr, Amherst, NH 03031-2715

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 2324 (NH)

Other Specialist/Technologist, Other providers in New Hampshire →

Registry record

NPI: 1730788373
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2020
Record last updated: 17 Dec 2020

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.