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Individual

STEPHEN H DAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14416 W MEEKER BLVD, BLDG C, SUN CITY WEST, AZ 85375-5284
(623) 583-5100
(623) 583-5816
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 972-9590

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22612
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
317520
AZ
Enumeration date
06/07/2006
Last updated
10/16/2007
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