Individual
STEPHANIE MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 N CENTRAL AVE, STE 1010, PHOENIX, AZ 85004-4501
(602) 553-8400
(602) 553-8408
Mailing address
2020 N CENTRAL AVE, SUITE 1010, PHOENIX, AZ 85004-4501
(602) 553-8400
(602) 553-8408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29793
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
618796-16
—
AZ
Enumeration date
10/27/2005
Last updated
12/17/2007
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