Individual
STEFAN KHENSOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2802 E DISTRICT ST, TUCSON, AZ 85714-2081
(520) 301-2400
Mailing address
2802 E DISTRICT ST, TUCSON, AZ 85714-2081
(520) 301-2400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7620
AZ
Other
Enumeration date
04/05/2019
Last updated
06/10/2025
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