| Organization Name: | STAUFFER PLUMBING LLC |
| NPI Number: | 1194893032 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAT STAUFFER (0WNER) |
| Mailing Address: | 15 Quail Ridge Rd. Globe |
| State: | AZ US |
| Postal Code: | 85501 |
| Phone Number: | 9284258472 |
| Fax Number: | 9284021082 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | ROC215990 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |