Individual
STEPHANIE JOY RANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6320 W UNION HILLS DR STE A100, GLENDALE, AZ 85308-1099
(480) 821-3600
(480) 857-2667
Mailing address
PO BOX 6730, CHANDLER, AZ 85246-6730
(480) 821-3600
(480) 857-2667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6938
AZ
363AM0700X
Medical Physician Assistant
Primary
6938
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344109
—
AZ
Enumeration date
03/12/2015
Last updated
07/03/2024
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