Individual
MRS. STEPHANIE ALONSO BERCEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1920 N HIGLEY RD STE 206, GILBERT, AZ 85234-1624
(480) 543-6700
(480) 543-6725
Mailing address
1920 N HIGLEY RD STE 206, GILBERT, AZ 85234-1624
(480) 543-6700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8143
ARIZONA LICENSE NUMBER
AZ
Enumeration date
09/14/2020
Last updated
06/10/2024
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