Individual
DR. ALYSSA KRISTINE STASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 633-3721
(602) 595-1127
Mailing address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 633-3721
(602) 595-1127
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
007597
AZ
208600000X
Surgery Physician
34.011950
OH
2086S0102X
Surgical Critical Care Physician
Primary
007597
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406897
—
AZ
Enumeration date
03/09/2012
Last updated
10/21/2021
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