Individual
DR. MARK G. STAVROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Mailing address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME71124
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251351000
—
FL
01
—
32322
BCBS
FL
Enumeration date
04/17/2006
Last updated
07/15/2013
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