Individual
DR. STEFAN MUDRYJ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
16601 N 40TH ST, PHOENIX, AZ 85032-3354
(480) 235-5797
(480) 629-5206
Mailing address
PO BOX 50848, PHOENIX, AZ 85076-0848
(480) 235-5797
(480) 629-5206
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0493
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465345
—
AZ
Enumeration date
06/14/2006
Last updated
07/09/2007
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