Individual
ANDREA L STONE SHAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 S WILLARD ST, STE 115, COTTONWOOD, AZ 86326-6743
(928) 634-3025
(928) 649-8800
Mailing address
PO BOX 596, COTTONWOOD, AZ 86326-0596
(928) 634-3025
(928) 649-8800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15706
AZ
207Q00000X
Family Medicine Physician
Primary
15706
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259053
—
AZ
Enumeration date
12/13/2005
Last updated
02/04/2010
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