Individual provider · Type 1 NPI

Mary Christina Stauber, P.A.-C.

Surgical Physician Assistant · Oak Ridge, TN

NPI number 1104802198 Active

Practice location

988 Oak Ridge Tpke, Physicians Plaza, Ste 350
Oak Ridge, TN 37830-6930

Fax (865) 483-3954

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA0326 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1104802198

Mary Christina Stauber, P.A.-C.'s National Provider Identifier is 1104802198, issued on Dec 21, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oak Ridge, TN. The record was last updated on Jul 8, 2007.