Individual
STEPHEN DAVID FRAUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5605 W EUGIE AVE STE 111, GLENDALE, AZ 85304-1273
(480) 756-6000
(855) 636-8770
Mailing address
5605 W EUGIE AVE STE 111, GLENDALE, AZ 85304-1273
(480) 756-0000
(855) 636-8770
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36752
AZ
207VG0400X
Gynecology Physician
36752
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225113
—
AZ
Enumeration date
05/18/2007
Last updated
04/09/2021
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