Stacy Elaine Neudorf, PA-C

NPI #1164781381 in Lubbock, Texas

Provider Information

NPI Number: 1164781381
Entity Type: Individual
Name: Stacy Elaine Neudorf, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 8, 2012
Last Updated: Oct 18, 2016

Practice Location

Address: 4015 22ND PL
City: Lubbock
State: Texas
ZIP Code: 79410-1119
Phone: (806) 725-0030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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