Individual
DR. SUSAN AILSWORTH STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10255 N 32ND ST, PHOENIX, AZ 85028-3851
(602) 258-7003
(602) 254-3474
Mailing address
10255 N 32ND ST, PHOENIX, AZ 85028-3851
(602) 258-7003
(602) 254-3474
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1435
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415514
—
AZ
Enumeration date
08/30/2006
Last updated
09/30/2011
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