NPI 1053843292

Stacy Blackwell Maggio, SAC

Practitioner Surgical Assistant Slidell, LA

Practice location

Address: 1150 Robert Blvd Suite 240, Slidell, LA 70458-2004
Phone: (985) 718-9392
Fax: (985) 249-5092

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Louisiana →

Registry record

NPI: 1053843292
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2017
Record last updated: 28 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.