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Individual

MR. STEFAN IACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
14239 W BELL RD STE 108, SURPRISE, AZ 85374-2470
(623) 248-4283
(623) 440-4255
Mailing address
1839 S ALMA SCHOOL RD STE 354, MESA, AZ 85210-3028
(480) 726-2287
(888) 503-3312

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3467
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
438998
AZ
Enumeration date
01/29/2007
Last updated
05/03/2023
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