Individual
LANDIS BROOK STOKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2730 S VAL VISTA DR STE 146, GILBERT, AZ 85295-1679
(480) 542-0202
Mailing address
342 E BACKMAN ST, SAN TAN VALLEY, AZ 85140-4290
(480) 274-9033
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RNP243406
AZ
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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