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Dr. Julie Beth Stavinoha, MD
General Practice Physician in Buckeye, Arizona
NPI 1164748612

Julie Beth Stavinoha is a General Practice Physician based in Luke Afb, AZ. Julie Beth Stavinoha practices in Buckeye, AZ and has the professional credentials of MD. The NPI Number for Julie Beth Stavinoha is 1164748612 and holds a License No. (Arizona).

The current practice location address for Julie Beth Stavinoha is 20955 W Hamilton St, Buckeye, AZ and can be reached out via phone at 210-254-0383.

Location: 20955 W Hamilton St, Buckeye, AZ, 85309-1005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164748612
Provider Name
Julie Beth Stavinoha
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
20955 W Hamilton St, Buckeye, AZ, 85309-1005
Phone Number
210-254-0383
Fax Number
Provider Enumeration Date
04/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20955 W Hamilton St
City
Buckeye
State
Arizona
Zip
85396-1518
Phone Number
210-254-0383
Fax Number
person
Provider Business Mailing Address Details
Address
20955 W Hamilton St
City
Buckeye
State
Arizona
Zip
85396-1518
Phone Number
210-254-0383
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
54541 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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