Organization
KATHY STOECKER LLC
Active
Other names
Northern Arizona Trauma Institute LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HOWARD STOECKER MD (COO)
(928) 899-7854
Entity
Organization
Contact information
Practice address
148 N SUMMIT AVE, PRESCOTT, AZ 86301-2712
(928) 458-1227
(928) 379-5111
Mailing address
2296 GOLF CLUB LN, PRESCOTT, AZ 86303-6922
(928) 899-7854
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
03/05/2022
Last updated
03/05/2022
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