Individual
DR. SUSAN M. STEPHENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
355 N 5TH AVE, PAPPAS MEDICAL CLINIC, PHOENIX, AZ 85003-1507
(602) 452-4753
(602) 452-4789
Mailing address
1551 W LEWIS AVE, PHOENIX, AZ 85007-1205
(602) 252-8070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17106
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410506
—
AZ
Enumeration date
05/04/2006
Last updated
07/09/2007
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