Individual
STEPHANIE RENEE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1329 N BEAVER ST, FLAGSTAFF, AZ 86001-3121
(928) 773-2261
Mailing address
1200 N BEAVER ST, ATTN: PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
299172
NY
2085R0001X
Radiation Oncology Physician
Primary
62759
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
03/28/2014
Last updated
10/06/2023
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