Individual
MBA STEPHEN AZODEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
888 N 1ST AVE APT 419, PHOENIX, AZ 85003-1681
(602) 281-0373
Mailing address
888 N 1ST AVE APT 419, PHOENIX, AZ 85003-1681
(602) 281-0373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RNP275763
AZ
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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