Stephanie Ann Moody Antonio in Norfolk - Otology & Neurotology

Stephanie Ann Moody Antonio - NPI 1366418956

Stephanie Ann Moody Antonio is a Otology & Neurotology in Norfolk, Virginia. Stephanie Ann Moody Antonio practices all healthcare services and medical treatments related to Otology & Neurotology. The NPI Number for Stephanie Ann Moody Antonio is 1366418956. The last update date is 2009-01-26.

Stephanie Ann Moody Antonio's current location address is Po Box 936, Norfolk, Virginia. You can contact this provider via phone number 7573886200 and fax number 7573886201. The mailing address for Stephanie Ann Moody Antonio is Po Box 936, Norfolk, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie Ann Moody Antonio
Address Po Box 936, Norfolk, Virginia
Phone Number 7573886200
Fax Number 7573886201
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1366418956
Provider Enumeration Date 2006-02-24
Last Updated Date 2009-01-26

Provider Mailing Address Detail

Address Po Box 936
City Norfolk
State Virginia (VA)
Post Code 235010936
Phone Number 7573886200
Fax Number 7573886201

Provider's Primary Taxonomy Detail

Speciality Otology & Neurotology
Taxonomy 207Yx0901X
Licence No 101237385
Definition:
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiolog

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
174750 VA ANTHEM
PAR VA USA MANAGED CARE
PAR VA MULTIPLAN
PAR VA FIRST HEALTH COMMERCIAL
067RG NC BC/BS
172403 VA ANTHEM
91377 VA SENTARA OPTIMA
PAR VA VA PREMIER HEALTH
PAR VA CIGNA
-4 VA TRICARE/CHAMPUS

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FAQs about Stephanie Ann Moody Antonio

What is the Stephanie Ann Moody Antonio's unique identification number?

The Stephanie Ann Moody Antonio has been assigned the NPI (National Provider Identifier) Number 1366418956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Stephanie Ann Moody Antonio's facilities are geographically located?

The facilities of Stephanie Ann Moody Antonio are physically situated at the following location: Po Box 936, Norfolk, VA, 235010936.

What is the Stephanie Ann Moody Antonio's specialty and taxonomy code?

The Stephanie Ann Moody Antonio's specialty is Otology & Neurotology, and the corresponding taxonomy code is 207Yx0901X.

On what date was the 1366418956 assigned to Stephanie Ann Moody Antonio?

The Stephanie Ann Moody Antonio was issued its 1366418956 on 2006-02-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Stephanie Ann Moody Antonio's information last updated?

The Stephanie Ann Moody Antonio's information was last updated on 2009-01-26.

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