Individual
ADAM STAWNICZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
309 E 2ND ST, POMONA, CA 91766-1854
(909) 469-5378
Mailing address
PO BOX 2181, POMONA, CA 91769-2181
(909) 754-8209
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
P-23257
CA
363A00000X
Physician Assistant
Primary
PA55876
CA
Other
Enumeration date
05/10/2018
Last updated
10/25/2024
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