Individual provider · Type 1 NPI

Phillip Clayon Stafford

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1376083220 Active

Practice location

7213 Chesterton Dr
Las Vegas, NV 89128-3121

Call (702) 754-9136 Map

Mailing address

7055 E Lake Mead Blvd, Apt 1004
Las Vegas, NV 89156-1108

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1376083220

Phillip Clayon Stafford's National Provider Identifier is 1376083220, issued on Feb 26, 2017. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 5, 2021.