MEDICARE: MR. PHILLIP CLAYON STAFFORD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1376083220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PHILLIP CLAYON STAFFORD

Provider Business Mailing Address
First Line	:	7055 E LAKE MEAD BLVD
Second Line	:	APT 1004
City	:	LAS VEGAS
State	:	NV
Zip	:	89156-1108
Country	:	US
Telephone Number	:	804-729-1264
Fax Number	:

Provider Business Practice Location Address
First Line	:	7213 CHESTERTON DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-3121
Country	:	US
Telephone Number	:	702-754-9136
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2017
Last Update Date	:	08/05/2021

Similar Medicare Providers

1134122021 — NEVADA CARDIOLOGY PROFESSIONAL ASSN
Practice Location Address:

3121 S MARYLAND PKWY , STE 512
LAS VEGAS, NV
89109-2310

Practice Phone: 702-796-7150
Practice Fax: 702-796-9071

1114924065 — DR. JAMES RICHARD DETTLING MD
Practice Location Address:

3121 S MARYLAND PKWY
LAS VEGAS, NV
89109-2311

Practice Phone: 702-877-6781
Practice Fax: 702-735-7495

1780685859 — LAURIE DENISE LARSEN MD
Practice Location Address:

3121 S MARYLAND PKWY , STE 420
LAS VEGAS, NV
89109-2307

Practice Phone: 702-796-8669
Practice Fax: 702-796-9517

1013901750 — MR. DANIEL J BROESKE M.D.
Practice Location Address:

3121 S MARYLAND PKWY , STE 408
LAS VEGAS, NV
89109-2307

Practice Phone: 702-733-8018
Practice Fax: 702-733-8751

1316996721 — CHARLES D MCPHERSON MD
Practice Location Address:

3121 SOUTH MARYLAND PKWY , STE 502
LAS VEGAS, NV
89148

Practice Phone: 702-731-9306
Practice Fax: 702-737-9781

1952356412 — PHYSICIANS MEDICAL CENTER KAUFMAN, LTD
Practice Location Address:

3121 S MARYLAND PKWY , SUITE 101
LAS VEGAS, NV
89109-2307

Practice Phone: 702-320-3627
Practice Fax: 702-320-3849

Directions to “ MR. PHILLIP CLAYON STAFFORD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.