Individual
DR. JORDAN TAYLOR STOUFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-5200
Mailing address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-5200
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
28464
NE
207Q00000X
Family Medicine Physician
125.062750
IL
207Q00000X
Family Medicine Physician
Primary
28464
NE
Other
Enumeration date
05/22/2013
Last updated
07/10/2024
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