Individual
STEPHANIE EWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10240 W INDIAN SCHOOL RD STE 115, PHOENIX, AZ 85037-5905
(623) 243-9077
Mailing address
1312 W BARTLETT WAY, CHANDLER, AZ 85248-5506
(520) 235-5377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6862
AZ
Other
Enumeration date
09/05/2017
Last updated
03/14/2025
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