Individual
SPENCER DAVID STOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
275 E RIVULON BLVD STE 201, GILBERT, AZ 85297-0008
(702) 483-5029
(702) 589-4872
Mailing address
10312 E REVOLUTION DR, MESA, AZ 85212-7842
(480) 309-3668
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
264403
AZ
Other
Enumeration date
09/20/2021
Last updated
12/09/2021
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