Individual
THOMAS STASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 343-0300
(615) 343-6489
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD23489
TN
207ND0101X
MOHS-Micrographic Surgery Physician
MD23489
TN
207NS0135X
Procedural Dermatology Physician
MD23489
TN
Other
Enumeration date
09/22/2006
Last updated
08/17/2012
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