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ALEXANDER RICHARD STANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
9376 E BAHIA DR, SCOTTSDALE, AZ 85260
(480) 556-8406
Mailing address
17722 N 79TH AVE APT 1012, GLENDALE, AZ 85308-8670
(480) 341-0461

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E61442312
AZ
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/17/2018
Last updated
08/27/2018
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