Individual
MANDY STEPHANIE OLIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
(623) 247-9742
Mailing address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
(623) 247-9742
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47956
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831983
—
AZ
01
—
R72003
TRAINING PERMIT
AZ
Enumeration date
07/16/2010
Last updated
07/07/2025
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