Burt A Stanga, MD | |
1852 N Mastick Way, Nogales, AZ 85621-1063 | |
(520) 375-6007 | |
Not Available |
Full Name | Burt A Stanga |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1852 N Mastick Way, Nogales, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417929753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 33756 (Iowa) | Secondary |
208000000X | Pediatrics | 32693 (Arizona) | Primary |
Entity Name | Roberto Canales Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023237518 PECOS PAC ID: 6406889831 Enrollment ID: O20050915000458 |
Mailing Address | Practice Location Address |
---|---|
Burt A Stanga, MD Po Box 87812, Tucson, AZ 85754-7812 Ph: (520) 743-3550 | Burt A Stanga, MD 1852 N Mastick Way, Nogales, AZ 85621-1063 Ph: (520) 375-6007 |
Tanya Henry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 | |
Dr. Guadalupe Ibanez Davila, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
Andrea Batshon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 | |
Alfonso C. Robles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
Dr. Jeminah L. Van Handel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-2335 | |
Gonzalo E Ibarra Murrieta, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-2335 |