Individual
ERNEST STEWART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6106
(928) 714-6409
(928) 714-6480
Mailing address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6106
(928) 714-6409
(928) 714-6480
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27384
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240515
—
AZ
01
—
AZ20846840
BLUE CROSS
—
Enumeration date
10/21/2005
Last updated
07/08/2007
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