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Individual

JOHN Q STAUFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2919 W SWANN AVE, SUITE 205, TAMPA, FL 33609-4038
(813) 870-3971
(813) 872-2644
Mailing address
2919 SWANN AVE, SUITE 205, TAMPA, FL 33609-4038
(813) 870-3971
(813) 872-2644

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0031349
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
591828425
TAX ID
FL
Enumeration date
03/27/2006
Last updated
07/08/2007
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