Organization
PHYSICO HEALTH ASSSESSMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEA MARIE STEIN F.N.P. (GENERAL PARTNER)
(480) 510-3075
Entity
Organization
Contact information
Practice address
5732 W SHANNON ST, CHANDLER, AZ 85226-1859
(480) 510-3075
(480) 940-1082
Mailing address
5732 W SHANNON ST, CHANDLER, AZ 85226-1859
(480) 510-3075
(480) 940-1082
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
RN 053217
AZ
261QS1000X
Student Health Clinic/Center
RN 053217
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162308
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
03/08/2007
Last updated
09/11/2025
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