Individual
ABIGAIL STAIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1275 YORK AVE. BOX 124, MEMORIAL SLOAN-KETTERING CANCER CENTER, NEW YORK, NY 10065
(212) 639-2000
Mailing address
PO BOX 27128, MEMORIAL SLOAN-KETTERING CANCER CENTER, SALT LAKE CITY, UT 84127-0128
(801) 518-7512
(801) 442-0643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6851557-8906
UT
363AM0700X
Medical Physician Assistant
016525
NY
Other
Enumeration date
02/01/2008
Last updated
08/25/2016
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