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Contact Information

NICK STAVRIDIS, DO
6644 E BAYWOOD AVE
MESA, AZ85206
 Phone: 480-981-4200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for NICK STAVRIDIS · (Male)

NPI Number 1114908696
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/10/2005
Last updated 09/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 3565
  • AZ Medicaid 548646
  • AZ Other AZ0728670 BLUE CROSS BLUE SHIELD GR
  • AZ Other 3981220 EVERCARE GRP
  • AZ Other 453051001 GROUP HEALTH GRP
  • AZ Other AW1436 HEALTHNET GRP
  • AZ Other 860373636 HUMANA GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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