# ADVANCED HOME WOUND CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578219630
- **Authorized official:** DR. JOSHUA BOYD STAUFFER DPM (OWNER)
- **Authorized official phone:** (310) 944-1912

## Contact information

- **Practice address:** 4223 YACHT HARBOR DR, STOCKTON, CA 95204-1123
- **Practice address phone:** (310) 944-1912
- **Mailing address:** 4223 YACHT HARBOR DR, STOCKTON, CA 95204-1123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/28/2022
- **Last updated:** 02/28/2022