Individual
MRS. STACEY L DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(480) 560-4080
Mailing address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(480) 560-4080
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
AP3380
AZ
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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