Individual
STEPHEN MAGNO DORONILA MAGAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN-NP
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 882-1500
Mailing address
20799 W WESTERN DR, BUCKEYE, AZ 85396-8372
(562) 322-4668
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
286781
AZ
Other
Enumeration date
08/12/2024
Last updated
10/03/2024
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