Organization
PHYSICIAN ASSISTANT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA A STUFFLEBEAM P.A. (PRESIDENT)
(480) 967-6500
Entity
Organization
Contact information
Practice address
7804 S JENTILLY LN, TEMPE, AZ 85284-1562
(480) 967-6500
(480) 967-6540
Mailing address
PO BOX 27514, TEMPE, AZ 85285-7514
(480) 967-6500
(480) 967-6540
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/10/2005
Last updated
10/29/2007
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