Provider Demographics
NPI:1356710974
Name:STAUFFER, JOSHUA BOYD (DPM)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:BOYD
Last Name:STAUFFER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:JOSH
Other - Middle Name:B
Other - Last Name:STAUFFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:3031 W MARCH LN # 310E
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-6500
Mailing Address - Country:US
Mailing Address - Phone:209-472-0800
Mailing Address - Fax:
Practice Address - Street 1:3031 W MARCH LN # 310E
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95219-6500
Practice Address - Country:US
Practice Address - Phone:209-472-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-24
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN846213ES0103X
IL135.000897213ES0103X
CAE5589213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery