Individual
SARAH STACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 COVE PKWY, COTTONWOOD, AZ 86326-4644
(928) 649-3003
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
010489
AZ
208000000X
Pediatrics Physician
1921
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133417
—
AZ
Enumeration date
06/25/2016
Last updated
09/27/2023
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