# STEPHANIE DANIEL MD PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861928749
- **Authorized official:** STEPHANIE DANIEL MD (SOLE OWNER)
- **Authorized official phone:** (602) 341-0904

## Contact information

- **Practice address:** 901 W REX ALLEN DR, WILLCOX, AZ 85643-1009
- **Practice address phone:** (702) 453-3799
- **Practice address fax:** (702) 453-5741
- **Mailing address:** 16772 W BELL RD STE 110-127, SURPRISE, AZ 85374-9702
- **Mailing address phone:** (702) 453-3799
- **Mailing address fax:** (702) 453-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 52709 | AZ | Yes |

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 05/11/2017