Individual
LARRY K STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32512
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109982
HEALTHLINK
—
01
—
180038736
RR MEDICARE
—
05
—
200790814
—
MO
01
—
21857
BLUE CROSS BLUE SHIELD
—
01
—
815387
FIRST HEALTH
—
01
—
A12009
MERCY
—
Enumeration date
02/15/2006
Last updated
06/17/2009
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