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Individual

STEPHEN BRUCE STUART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
804 AINSWORTH DR, SUITE 102, PRESCOTT, AZ 86301-1624
(928) 776-0601
(928) 776-0620
Mailing address
804 AINSWORTH DR, SUITE 102, PRESCOTT, AZ 86301-1624
(928) 776-0601
(928) 776-0620

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34286
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
34286
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
499972
AZ
01
P00249737
RAILROAD MEDICARE
AZ
Enumeration date
06/08/2005
Last updated
09/29/2021
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