Individual
JOHN STANIEVICH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
Mailing address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA175347
OR
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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