Individual
DR. STACEY LOUISE DAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6139 S RURAL RD STE 102, TEMPE, AZ 85283-2929
(480) 846-0688
(480) 741-8650
Mailing address
PO BOX 6085, CHANDLER, AZ 85246-6085
(480) 846-0688
(480) 741-8650
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
006185
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030026
—
AZ
Enumeration date
05/16/2011
Last updated
05/07/2026
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