Individual
BRIDGET STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5175 MORSE RD STE 100, GAHANNA, OH 43230-3458
(614) 454-4808
(614) 454-4809
Mailing address
2111 E STATE ST, ATHENS, OH 45701-2138
(740) 566-4621
(740) 566-4622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006164
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/14/2019
Last updated
04/05/2024
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