Susan Ott Stavis
NPI #1003766551 in Tijeras, New Mexico
Provider Information
- NPI Number
- 1003766551
- Entity Type
- Individual
- Name
- Susan Ott Stavis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 2, 2026
- Last Updated
- Feb 2, 2026
Practice Location
- Address
- 25 CAMPO RD
- City
- Tijeras
- State
- New Mexico
- ZIP Code
- 87059-7615
- Phone
- (208) 818-4774
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