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Individual

DAVID EDWIN STETSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, PSYCHOL

Contact information

Practice address
1615 S 1ST AVE, SAFFORD, AZ 85546-2103
(928) 428-4550
(928) 428-4588
Mailing address
489 N ARROYO BLVD, NOGALES, AZ 85621-2644
(520) 287-4713
(520) 287-9794

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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