Individual
JOHN P STELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1751 GARDNER WAY, SUITE B, WASILLA, AK 99654-6513
(907) 357-1220
(907) 357-1222
Mailing address
12110 BUSINESS BLVD, SUITE 6, PMB 343, EAGLE RIVER, AK 99577-7725
(907) 726-1180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00016143
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8448516
—
WA
05
—
MD9522
—
AK
01
—
N2018
BLUE CROSS BLUE SHIELD
AK
Enumeration date
07/21/2006
Last updated
07/08/2007
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