Individual
SUSAN DEL SORDI-STAATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11209 N TATUM BLVD STE 160, PHOENIX, AZ 85028-3092
(480) 285-2180
(480) 285-2182
Mailing address
11209 N TATUM BLVD STE 160, PHOENIX, AZ 85028-3092
(480) 285-2180
(480) 285-2182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4490
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4490
AZ STATE LICENSE
AZ
Enumeration date
07/26/2007
Last updated
03/07/2023
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