Individual
STACI MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1661 E CAMELBACK RD, SUITE 160, PHOENIX, AZ 85016-3911
(602) 241-1671
(602) 274-6181
Mailing address
1661 E CAMELBACK RD, SUITE 160, PHOENIX, AZ 85016-3911
(602) 241-1671
(602) 274-6181
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27225
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520397
—
AZ
Enumeration date
06/15/2005
Last updated
03/19/2015
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