Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHANIE ANN MOODY ANTONIO, MD
ActiveDR. STEPHANIE ANN MOODY ANTONIO, MD is a Otolaryngic Allergy healthcare provider located in NORFOLK, Virginia. NPI 1366418956 is currently active in the NPPES registry. Verify at CMS.
Otolaryngic Allergy · NORFOLK, VA
Registration Details
- NPI Number
- 1366418956
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 24, 2006 (20.490457379157 yrs)
- Last Updated
- Jan 26, 2009
- Licenses
-
0101237385 (VA)0101237385 (VA)
Practice Information
- Address
-
600 GRESHAM DRSUITE 1100NORFOLK, VA, 235071904Browse VA providers · Browse ZIP 23507
- Phone
- 7573886200
- Fax
- 7573886201
- Primary Specialty
-
Otolaryngic Allergy
207YX0901X
- Additional Specialty
- Otolaryngic Allergy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.