Organization
ADVANCED HOME WOUND CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA BOYD STAUFFER DPM (OWNER)
(310) 944-1912
Entity
Organization
Contact information
Practice address
4223 YACHT HARBOR DR, STOCKTON, CA 95204-1123
(310) 944-1912
Mailing address
4223 YACHT HARBOR DR, STOCKTON, CA 95204-1123
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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