Doctor Name: | JOANNA STACEY |
NPI Number: | 1093781569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 0101-232045 |
Business Practice Address: | 902 S Jefferson St Roanoke, VA - 240164404 |
Business Phone Number: | 5409859862 |
Business Fax Number: | |
Mailing Address: | 1612 Red Oak Ln Sw, ROANOKE |
State: | VA |
Postal Code: | 240181239 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/24/2006 |
NPI Last Update Date: | 05/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 0101-232045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |