Individual
DANIEL MATTHEW STASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(775) 867-7740
(775) 423-4219
Mailing address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(775) 867-7740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1133
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12196146
CAQH
—
Enumeration date
09/24/2008
Last updated
03/08/2022
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