Individual provider · Type 1 NPI

Susan Brown Stavinoha, PA

Medical Physician Assistant · Austin, TX

NPI number 1295887420 Active

Practice location

313 E 12th St, Ste 104
Austin, TX 78701-1954

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01664 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1295887420

Susan Brown Stavinoha, PA's National Provider Identifier is 1295887420, issued on Jan 17, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Austin, TX. The record was last updated on Dec 13, 2012.