Individual
DAVID EDWIN STETSON
Active
Individual
DAVID EDWIN STETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, PSYCHOL
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
PSYCHOL 3521
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970382
AZ AHCCCES
AZ
Enumeration date
10/17/2006
Last updated
07/08/2007
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