Individual
DR. NICOLE E STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-1516
(602) 344-1004
Mailing address
3225 E ELWOOD ST, STE. 110, PHOENIX, AZ 85034-7259
(602) 470-5000
(602) 328-2115
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
D64202
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M60592
CDS #
MD
Enumeration date
07/12/2006
Last updated
03/07/2023
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