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Individual

ELIZABETH L STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C.

Contact information

Practice address
222 W 8TH ST UNIT 3826, DURANGO, CO 81302-4852
(480) 201-5264
(480) 393-1970
Mailing address
1776 N SCOTTSDALE RD UNIT 368, SCOTTSDALE, AZ 85252-3616
(480) 201-5264
(480) 393-1970

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA.0008180
CO
363AS0400X
Surgical Physician Assistant
Primary
3304
AZ
363AS0400X
Surgical Physician Assistant
PA.0008180
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
975641
AZ
Enumeration date
01/04/2006
Last updated
04/15/2025
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