Organization
STONE MED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA TRETTER ANP (CO-OWNER)
(480) 501-9475
Entity
Organization
Contact information
Practice address
1327 E CHANDLER BLVD STE 106, PHOENIX, AZ 85048-6272
(480) 501-9475
(480) 306-7674
Mailing address
1327 E CHANDLER BLVD STE 106, PHOENIX, AZ 85048-6272
(480) 501-9475
(480) 306-7674
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
AZ
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073984639
ARIZONA
AZ
01
—
1346234564
ARIZONA
AZ
Enumeration date
04/26/2018
Last updated
05/21/2024
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