Doctor Name: | BURT A STANGA |
NPI Number: | 1417929753 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 33756 |
Business Practice Address: | 1852 N Mastick Way Nogales, AZ - 856211063 |
Business Phone Number: | 5203756007 |
Business Fax Number: | |
Mailing Address: | Po Box 87812, TUCSON |
State: | AZ |
Postal Code: | 857547812 |
Phone Number: | 5207433550 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 02/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 33756 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |