Individual
DR. STACI BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(602) 685-5211
(602) 685-5325
Mailing address
PO BOX 42210, PHOENIX, AZ 85080-2210
(623) 266-7770
(623) 322-4639
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
51046
AZ
207ZP0213X
Pediatric Pathology Physician
51046
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053086
—
AZ
Enumeration date
07/25/2007
Last updated
08/05/2020
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