Individual provider · Type 1 NPI

Justin Stafford, PA-C

Physician Assistant · Kettering, OH

NPI number 1083168454 Active

Practice location

3535 Southern Blvd
Kettering, OH 45429-1221

Fax (937) 522-7873

Mailing address

3533 Southern Blvd, Suite 2100
Kettering, OH 45429-1264

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X50.004770RX (OH)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083168454

Justin Stafford, PA-C's National Provider Identifier is 1083168454, issued on Aug 15, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kettering, OH. The record was last updated on Nov 19, 2020.