Individual
BURT A STANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 375-6007
Mailing address
PO BOX 87812, TUCSON, AZ 85754-7812
(520) 743-3550
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32693
AZ
2080A0000X
Pediatric Adolescent Medicine Physician
33756
IA
Other
Enumeration date
02/02/2006
Last updated
02/24/2009
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