Individual
MARK JOSEPH STAVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 TIGER LILY RD STE 100, LINCOLN, NE 68516-5587
(402) 420-7000
(402) 420-6969
Mailing address
4101 TIGER LILY RD STE 100, LINCOLN, NE 68516-5587
(402) 420-7000
(402) 420-6969
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
30395
NE
2085R0001X
Radiation Oncology Physician
MD53147
TN
Other
Enumeration date
05/26/2010
Last updated
03/16/2024
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