| Doctor Name: | ANDY J. STAFFORD |
| NPI Number: | 1609952332 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 01031189 |
| Business Practice Address: | 2920 Mcintyre Dr Suite 250 Bloomington, IN - 474034221 |
| Business Phone Number: | 8123329217 |
| Business Fax Number: | 8123304474 |
| Mailing Address: | Po Box 1329, BLOOMINGTON |
| State: | IN |
| Postal Code: | 474021329 |
| Phone Number: | 8123532154 |
| Fax Number: | 8123535228 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 06/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 01031189 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |