Individual
DR. JOHN A STATHOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2010 N AUGUSTA ST, STAUNTON EYE CLINIC PLC, STAUNTON, VA 24401-2435
(540) 885-8186
(540) 886-5895
Mailing address
2010 N AUGUSTA ST, STAUNTON EYE CLINIC PLC, STAUNTON, VA 24401-2435
(540) 885-8186
(540) 886-5895
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101032974
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006307868
—
VA
Enumeration date
03/24/2006
Last updated
07/29/2010
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