Individual
DR. JULIE BETH STAVINOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20955 W HAMILTON ST, BUCKEYE, AZ 85396-1518
(210) 254-0383
Mailing address
GENERAL DELIVER, LUKE AFB, AZ 85309-1005
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
54541
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/08/2010
Last updated
03/17/2018
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