Individual
STACI ANN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
6285 S HIGLEY RD, GILBERT, AZ 85298-4262
(480) 460-4949
(480) 460-5858
Mailing address
6285 S HIGLEY RD, GILBERT, AZ 85298-4262
(480) 460-4949
(480) 460-5858
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2215
AZ
Other
Enumeration date
06/08/2007
Last updated
07/29/2020
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