Provider Demographics
NPI:1194893032
Name:STAUFFER PLUMBING LLC
Entity type:Organization
Organization Name:STAUFFER PLUMBING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:0WNER
Authorized Official - Prefix:
Authorized Official - First Name:MAT
Authorized Official - Middle Name:
Authorized Official - Last Name:STAUFFER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:928-425-8472
Mailing Address - Street 1:PO BOX 1066
Mailing Address - Street 2:
Mailing Address - City:CLAYPOOL
Mailing Address - State:AZ
Mailing Address - Zip Code:85532-1066
Mailing Address - Country:US
Mailing Address - Phone:928-425-8472
Mailing Address - Fax:928-402-1082
Practice Address - Street 1:15 QUAIL RIDGE RD.
Practice Address - Street 2:
Practice Address - City:GLOBE
Practice Address - State:AZ
Practice Address - Zip Code:85501
Practice Address - Country:US
Practice Address - Phone:928-425-8472
Practice Address - Fax:928-402-1082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZROC215990171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty