Individual
MARK H STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3260 HOSPITAL DR, JUNEAU, AK 99801
(907) 796-8632
(907) 796-8455
Mailing address
3260 HOSPITAL DR, JUNEAU, AK 99801
(907) 796-8498
(907) 796-8497
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2217
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD3513
—
AK
Enumeration date
08/08/2006
Last updated
07/08/2007
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