Individual
STACEY J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9070 E DESERT COVE AVE STE A102, SCOTTSDALE, AZ 85260-6227
(480) 553-6168
(480) 590-6235
Mailing address
9070 E DESERT COVE AVE STE A102, SCOTTSDALE, AZ 85260-6227
(480) 553-6168
(480) 590-6235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32083
AZ
Other
Enumeration date
07/10/2006
Last updated
07/05/2022
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