Individual
STEPHEN ROBERT BAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./PH.D.
Contact information
Practice address
1708 FALL HILL AVE STE 100, FREDERICKSBURG, VA 22401-3511
(540) 371-1226
Mailing address
1708 FALL HILL AVE STE 100, FREDERICKSBURG, VA 22401-3511
(540) 371-1226
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101262513
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2012
Last updated
03/15/2022
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