Individual
SUSAN D STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
641 W WARNER RD, GILBERT, AZ 85233-7266
(480) 722-9828
(480) 722-9831
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 583-5816
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2543
AZ
Other
Enumeration date
06/07/2006
Last updated
10/29/2015
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