Individual
STEPHANIE AZEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6320B W UNION HILLS DR, SUITE 2300, GLENDALE, AZ 85308-7201
(623) 561-9113
Mailing address
6320B W UNION HILLS DR, SUITE 2300, GLENDALE, AZ 85308-7201
(623) 561-9113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5439
AZ
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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