Individual
CARLY RENAE STOCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
350 N WILMOT RD, TUCSON, AZ 85711-2602
(520) 873-3000
Mailing address
10615 W LARKHILL DR, MARANA, AZ 85653-1327
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
9354
AZ
363A00000X
Physician Assistant
Primary
9354
AZ
Other
Enumeration date
06/03/2022
Last updated
05/14/2026
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