Individual
DR. STACEY M MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3506 KENNETT PIKE STE 100, WILMINGTON, DE 19807-3019
(302) 661-3375
(302) 661-3374
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
007592
AZ
207V00000X
Obstetrics & Gynecology Physician
Primary
C2-0024392
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425277
—
AZ
Enumeration date
07/12/2011
Last updated
11/14/2023
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