Individual
MR. STEPHEN WAYNE CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
25830 N 64TH AVE, PHOENIX, AZ 85083-1014
(602) 312-1495
Mailing address
25830 N 64TH AVE, PHOENIX, AZ 85083-1014
(602) 312-1495
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
168614
AZ
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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