Individual
JOSHUA DAVID STUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-2188
Mailing address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-2188
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
—
—
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2015
Last updated
05/09/2025
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