Individual
JOHN STATHAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5056 N CENTRAL AVE, PHOENIX, AZ 85012-1521
(602) 222-9111
(602) 222-9333
Mailing address
5056 N CENTRAL AVE, PHOENIX, AZ 85012-1521
(602) 222-9111
(602) 222-9333
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0999
AZ
Other
Enumeration date
09/08/2005
Last updated
07/11/2013
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