Individual
JUDITH M STANNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
6320 N LA CHOLLA BLVD STE 200, TUCSON, AZ 85741-3549
(520) 382-8200
(520) 297-3505
Mailing address
85 SEYMOUR ST, SUITE 607, HARTFORD, CT 06106-5501
(860) 549-3210
(860) 247-3803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001249
CT
363A00000X
Physician Assistant
Primary
6935
AZ
363AM0700X
Medical Physician Assistant
001249
CT
363AM0700X
Medical Physician Assistant
6935
AZ
363AS0400X
Surgical Physician Assistant
6935
AZ
Other
Enumeration date
07/13/2005
Last updated
03/21/2019
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