NPI 1528218765

Daniel Matthew Stasik, PAC

Practitioner Physician Assistant Fallon, NV

Practice location

Address: 801 E Williams Ave, Fallon, NV 89406-3052
Phone: (775) 867-7740
Fax: (775) 423-4219

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA1133 (NV)

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Registry record

NPI: 1528218765
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2008
Record last updated: 8 Mar 2022

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.