Individual
DR. GITANA STASKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 ARAPEEN DR, SUITE 100, SALT LAKE CITY, UT 84108-1267
(801) 581-7761
Mailing address
615 ARAPEEN DR, SUITE 100, SALT LAKE CITY, UT 84108-1267
(801) 581-7761
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036-109743
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109743 1
—
IL
Enumeration date
01/02/2007
Last updated
11/19/2021
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