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Individual
MR. STELLAN J PARR
Active
Individual
MR. STELLAN J PARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
PA64227
CA
363A00000X
Physician Assistant
PA64227
CA
363AS0400X
Surgical Physician Assistant
021540
NY
Other
Enumeration date
09/30/2017
Last updated
06/26/2024
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