Individual
ADRIAN EMIL STAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12641 N 19TH ST, PHOENIX, AZ 85022-5735
(602) 703-1248
Mailing address
12641 N 19TH ST, PHOENIX, AZ 85022-5735
(602) 703-1248
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
243696
AZ
Other
Enumeration date
07/04/2020
Last updated
07/04/2020
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