Individual
STEPHANIE DEBORAH KOTSUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
21321 E OCOTILLO RD STE 133, QUEEN CREEK, AZ 85142-5995
(480) 987-5525
(480) 987-5115
Mailing address
21321 E OCOTILLO RD STE 133, QUEEN CREEK, AZ 85142-5995
(480) 987-5525
(480) 987-5115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP11222
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
AP11222
AZ
Other
Enumeration date
05/26/2018
Last updated
03/08/2022
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