Provider Demographics
NPI:1750611018
Name:STAFFORD SURGICAL, P.C.
Entity type:Organization
Organization Name:STAFFORD SURGICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:J
Authorized Official - Last Name:VAYER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:540-657-8180
Mailing Address - Street 1:2761 JEFFERSON DAVIS HWY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-8329
Mailing Address - Country:US
Mailing Address - Phone:540-657-8180
Mailing Address - Fax:540-628-2322
Practice Address - Street 1:2761 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE 207
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-8329
Practice Address - Country:US
Practice Address - Phone:540-657-8180
Practice Address - Fax:540-628-2322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-10
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty