Most Relevant Information
Provider Data
NPI Number: | 1003420100 |
Provider Name: | PAIGE STANZEL PA |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 2524 |
Most Important Dates
Enumeration Date: | 09/04/2020 |
Last Updated: | 09/04/2020 |
Provider Practice Location
610 JEFFERSON ST
WATERLOO
NE
680692212
Practice Location Phone/Fax
Phone: | 4026583150 |
Fax: |
Provider Mailing Location
610 JEFFERSON ST
WATERLOO
NE
680692212
Provider Mailing Phone/Fax
Phone: | 4026583150 |
Fax: |