Individual
PATTI ANN STEFANICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O., F.A.C.O.S.
Contact information
Practice address
939 MENOHER BLVD, JOHNSTOWN, PA 15905-2838
(814) 255-7882
(814) 255-7885
Mailing address
710 SAINT CLAIR RD, JOHNSTOWN, PA 15905-1648
(814) 255-1688
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS 005514L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011830210001
—
PA
01
—
ST469423
BCBS
PA
Enumeration date
06/22/2005
Last updated
07/09/2007
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