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Individual

JUSTIN EDWARD STATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
18444 N 25TH AVE STE 210, PHOENIX, AZ 85023-1264
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE, STE 310, PHOENIX, AZ 85023-1266
(623) 537-5600
(866) 939-2673

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
006415
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
929505
AZ
05
PENDING
AZ
Enumeration date
06/08/2010
Last updated
08/11/2025
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