Individual
DR. DAVID MARK STAUFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM PLLC
Contact information
Practice address
2825 LYNDHURST AVE, SUITE 105, WINSTON-SALEM, NC 27103-4146
(336) 768-3305
(336) 768-3350
Mailing address
PO BOX 172, KING, NC 27021-0172
(336) 983-8231
(336) 983-0012
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
91
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08171
BCBS PROVIDER NUMBER
NC
05
—
8968324
—
NC
Enumeration date
05/13/2006
Last updated
01/16/2013
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