Individual
PATRICK STASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1912
(360) 454-1985
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 454-1912
(360) 454-1985
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD61098641
WA
390200000X
Student in an Organized Health Care Education/Training Program
4351038008
MI
Other
Enumeration date
06/11/2015
Last updated
08/13/2021
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