Organization
STATECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM HAZEGHAZAM MD (OWNER)
(623) 308-2472
Entity
Organization
Contact information
Practice address
2190 N GRACE BLVD, CHANDLER, AZ 85225-3416
(480) 917-9301
Mailing address
8790 E VIA DE VENTURA UNIT 5431, SCOTTSDALE, AZ 85261-4388
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
49617
AZ
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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