Individual
MACKENZIE STAPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4000
Mailing address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA060155
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2018
Last updated
02/15/2022
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