Individual
KEVIN STAVRIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 271-6429
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD473758
PA
Other
Enumeration date
04/15/2016
Last updated
09/13/2021
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