Individual
DR. STUART H AGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3048 E BASELINE RD, STE 122, MESA, AZ 85204-7286
(480) 827-9945
(480) 834-6244
Mailing address
3048 E BASELINE RD, STE 122, MESA, AZ 85204-7286
(480) 827-9945
(480) 834-6244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15251
AZ
Other
Enumeration date
08/02/2005
Last updated
10/17/2012
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