Most Relevant Information
Provider Data
| NPI Number: | 1003668823 |
| Provider Name: | ALEXANA STAVROS |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/04/2024 |
| Last Updated: | 04/04/2024 |
Provider Practice Location
474 W 200 N # 300
SAINT GEORGE
UT
847704505
Practice Location Phone/Fax
| Phone: | 4356345600 |
| Fax: |
Provider Mailing Location
474 W 200 N # 300
SAINT GEORGE
UT
847704505
Provider Mailing Phone/Fax
| Phone: | 4356345600 |
| Fax: |