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Individual

NARDY STASCAVAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1208 6TH AVE, SUPERIOR, MT 59872-9618
(406) 822-4841
(406) 822-4963
Mailing address
1208 6TH AVE, SUPERIOR, MT 59872-9618
(406) 822-4841
(406) 822-4963

Taxonomy

Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
9568
MT
207L00000X
Anesthesiology Physician
9568
MT

Other

Enumeration date
09/24/2012
Last updated
09/24/2012
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