Provider Demographics
NPI:1689654279
Name:STOYAS, ATHENA JOYCE (MD)
Entity Type:Individual
Prefix:DR
First Name:ATHENA
Middle Name:JOYCE
Last Name:STOYAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL
Mailing Address - Street 2:1650 COCHRANE CIRCLE, ATTN: CREDENTIALS OFFICE
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4604
Mailing Address - Country:US
Mailing Address - Phone:719-526-7653
Mailing Address - Fax:719-526-7673
Practice Address - Street 1:USA MEDDACE, EVANS ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4604
Practice Address - Country:US
Practice Address - Phone:719-524-4335
Practice Address - Fax:719-524-4212
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO43836208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics