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ALEXIS J STADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
11333 N SEPULVEDA BLVD, MISSION HILLS, CA 91345-1116
(818) 869-7200
Mailing address
PO BOX 960, MISSION HILLS, CA 91346-9602
(818) 837-5559
(818) 792-4793

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.006568RX
OH
363A00000X
Physician Assistant
58925
CA
363A00000X
Physician Assistant
Primary
PA58925
CA

Other

Enumeration date
01/05/2021
Last updated
07/24/2024
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