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NPI Code Detail

MEDICARE: DR. ROY MICHAEL STEFANIK D.O.

MEDICARE:  DR. ROY MICHAEL STEFANIK  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician0102036992VA

General Provider Information

NPI Number : 1356497630
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROY MICHAEL STEFANIK D.O.
Provider Business Mailing Address
First Line : PO BOX 861576
Second Line :
City : VINT HILL FARMS
State : VA
Zip : 20187-1576
Country : US
Telephone Number : 703-830-1500
Fax Number : 703-830-0001
Provider Business Practice Location Address
First Line : 7915 LAKE MANASSAS DR STE 305
Second Line :
City : GAINESVILLE
State : VA
Zip : 20155-3260
Country : US
Telephone Number : 703-830-1500
Fax Number : 703-830-0001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 04/26/2023

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Directions to “ DR. ROY MICHAEL STEFANIK D.O.” Practice Location

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