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Individual

STEPHANIE TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3712 E LATHAM CT, GILBERT, AZ 85297-3017
(480) 279-6094
(480) 718-8788
Mailing address
3712 E LATHAM CT, GILBERT, AZ 85297-3017

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
SLPA10806
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLPA10806
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
08/10/2017
Last updated
08/10/2017
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