Individual
HOLLY DAE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3655 CROSSINGS DR, PRESCOTT, AZ 86305-7101
(928) 778-9250
(928) 778-2306
Mailing address
3655 CROSSINGS DR, PRESCOTT, AZ 86305-7101
(928) 778-9250
(928) 778-2306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8762
AZ
363AM0700X
Medical Physician Assistant
Primary
8762
AZ
Other
Enumeration date
08/28/2019
Last updated
11/16/2022
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