Individual
MATTHEW ROBERT STAWARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR STE 212A, ABINGDON, VA 24211-7664
(276) 258-3740
(276) 258-3745
Mailing address
451 SHIPLEY DR, BRISTOL, VA 24201-1531
(276) 696-1803
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024185547
VA
Other
Enumeration date
04/26/2023
Last updated
10/15/2024
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