Individual
DR. STEPHANIE D MARTINEZ HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7701 W ASPERA BLVD, GLENDALE, AZ 85308-7947
(623) 248-2109
(623) 707-4893
Mailing address
7701 W ASPERA BLVD, GLENDALE, AZ 85308-7947
(623) 248-2109
(623) 707-4893
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
29691
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
709107
—
AZ
Enumeration date
04/26/2006
Last updated
06/25/2022
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