Individual
ALAN F STUPNITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1702 S PIERPONT, MESA, AZ 85206-6536
(602) 844-3200
(281) 724-3100
Mailing address
1776 WOODSTEAD CT. SUITE 208, THE WOODLANDS, TX 77380
(281) 724-3050
(281) 724-3100
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036171817
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2020017229
MO
208100000X
Physical Medicine & Rehabilitation Physician
68742
AZ
Other
Enumeration date
03/22/2019
Last updated
09/30/2024
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