Individual
JUDITH KAY STUTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C PHYSICIAN ASST
Contact information
Practice address
415 BYERS RD, SUITE 300, MIAMISBURG, OH 45342
(937) 866-2494
(937) 866-8494
Mailing address
415 BYERS RD STE 300, MIAMISBURG, OH 45342-3684
(937) 866-2494
(937) 866-8494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085513
—
OH
Enumeration date
08/16/2006
Last updated
11/18/2020
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