Provider Demographics
NPI:1952301806
Name:STRAZINSKY, STEPHANIE M (PA)
Entity Type:Individual
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First Name:STEPHANIE
Middle Name:M
Last Name:STRAZINSKY
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Gender:F
Credentials:PA
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Mailing Address - Street 1:1201 SAM PERRY BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401
Mailing Address - Country:US
Mailing Address - Phone:540-372-7792
Mailing Address - Fax:540-372-2073
Practice Address - Street 1:1101 SAM PERRY BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4467
Practice Address - Country:US
Practice Address - Phone:540-372-7792
Practice Address - Fax:540-372-2073
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2009-03-10
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Provider Licenses
StateLicense IDTaxonomies
VA0110840535363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical