Individual
ERIN E STUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-1387
(480) 342-1387
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-1387
(480) 342-1388
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
19629
NY
363AM0700X
Medical Physician Assistant
Primary
4273
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373973
—
AZ
01
—
P00882972
RAILROAD MEDICARE
AZ
Enumeration date
10/06/2008
Last updated
06/29/2023
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