Individual
MATTHEW THOMAS STIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267479
MA
2085R0202X
Diagnostic Radiology Physician
Primary
65094
AZ
2085R0202X
Diagnostic Radiology Physician
MD16372
RI
Other
Enumeration date
06/07/2016
Last updated
04/03/2023
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