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Individual
DR. NICK STAVRIDIS
Active
Individual
DR. NICK STAVRIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3565
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981220
EVERCARE GRP
AZ
01
—
453051001
GROUP HEALTH GRP
AZ
05
—
548646
—
AZ
01
—
860373636
HUMANA GROUP
AZ
01
—
AW1436
HEALTHNET GRP
AZ
01
—
AZ0728670
BLUE CROSS BLUE SHIELD GR
AZ
Enumeration date
11/10/2005
Last updated
09/22/2021
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