Individual
STACIA PFOST
Active
Individual
STACIA PFOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10056562
TX
2086X0206X
Surgical Oncology Physician
Primary
T7000
TX
Other
Enumeration date
06/06/2016
Last updated
10/12/2022
Update your record
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