Organization
JUNEAU D STUMP JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNEAU D STUMP JR. MD (OWNER)
(928) 634-2233
Entity
Organization
Contact information
Practice address
18 E BEECH ST, COTTONWOOD, AZ 86326-4134
(928) 634-2233
Mailing address
PO BOX 1904, COTTONWOOD, AZ 86326-1904
(928) 634-0665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7971
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204008
—
AZ
Enumeration date
07/25/2006
Last updated
11/07/2007
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