NPI 1508887019 · live from the CMS NPI Registry
John P Stella, M.D.
Radiology, Diagnostic Radiology in Wasilla, AK. National Provider Identifier 1508887019, active.
NPI record
| NPI | 1508887019 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1751 Gardner Way, Suite B, Wasilla, AK 99654 |
| Practice phone | 907-357-1220 |
| Mailing address | 12110 Business Blvd, Suite 6, Pmb 343, Eagle River, AK 99577 |
| Enumerated | July 21, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD00016143 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.