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Individual

JOHN MARK STAUFFER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1046 TULIP TER, ROCKINGHAM, VA 22801-5324
(540) 421-0779
(540) 438-0023
Mailing address
PO BOX 169, HARRISONBURG, VA 22803-0169
(540) 421-0779
(540) 438-0023

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101031417
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005689660
VA
Enumeration date
07/06/2006
Last updated
04/19/2017
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