Individual
DR. STEPHANIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3902 E. GRANT ROAD, TUCSON, AZ 85712
(520) 468-4801
(520) 468-4801
Mailing address
101 TREMONT ST FL 6, BOSTON, MA 02108-5004
(617) 454-4672
(617) 701-7740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54134
AZ
207R00000X
Internal Medicine Physician
MD22276
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288305
—
OR
Enumeration date
03/17/2006
Last updated
03/17/2018
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