Provider Demographics
NPI:1790883866
Name:STINAR, THERON ROBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:THERON
Middle Name:ROBERT
Last Name:STINAR
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1129 HEATHERSTONE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-4828
Mailing Address - Country:US
Mailing Address - Phone:540-785-8500
Mailing Address - Fax:540-785-5328
Practice Address - Street 1:1129 HEATHERSTONE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-4828
Practice Address - Country:US
Practice Address - Phone:540-785-8500
Practice Address - Fax:540-785-5328
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2013-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA059965207Q00000X
VA0101246993207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine