Individual
MRS. MARY CHRISTINA STAUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
988 OAK RIDGE TPKE, PHYSICIANS PLAZA, STE 350, OAK RIDGE, TN 37830-6930
(865) 483-7030
(865) 483-3954
Mailing address
988 OAK RIDGE TPKE, PHYSICIANS PLAZA, STE 350, OAK RIDGE, TN 37830-6930
(865) 483-7030
(865) 483-3954
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA0326
TN
Other
Enumeration date
12/21/2005
Last updated
07/08/2007
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