NPI Profile for NARDY STASCAVAGE in SUPERIOR, MT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthopedic |
163WX0800X | |||
Anesthesiology |
207L00000X | 79 | Physician/Addiction Medicine |
| NPI # | 1477804060 |
|
| Status | Active | |
| Credentials | CRNA (Certified Registered Nurse Anesthetist) | |
| Entity | Individual | |
| Enumeration date | 09/24/2012 | |
| Last updated | 09/24/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NARDY STASCAVAGE
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