| Doctor Name: | MRS. MARY CHRISTINA STAUBER |
| NPI Number: | 1104802198 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.-C. |
| License Number: | PA0326 |
| Business Practice Address: | 988 Oak Ridge Tpke Physicians Plaza, Ste 350 Oak Ridge, TN - 378306930 |
| Business Phone Number: | 8654837030 |
| Business Fax Number: | 8654833954 |
| Mailing Address: | 988 Oak Ridge Tpke, Physicians Plaza, Ste 350 OAK RIDGE |
| State: | TN |
| Postal Code: | 378306930 |
| Phone Number: | 8654837030 |
| Fax Number: | 8654833954 |
| NPI Enumeration Date: | 12/21/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA0326 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |