IndividualActive
Richard Stafford
NPI 1508831009 · Pediatric Gastroenterology Physician · Saint Paul, MN
Provider details
- NPI number
- 1508831009
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 26352 (MN)
Practice location
2550 University Ave W
Suite 423 South
Saint Paul, MN 55114-1052
Phone: (612) 870-5557
Fax: (612) 870-5857
Mailing address
Po Box 14909
Minneapolis, MN 55414-0909
Registry dates
- Enumerated
- 2006-02-20
- Last updated
- 2007-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.