Individual
DR. SASHA O'BRIEN STAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3430
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R76155
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
57561
AZ
Other
Enumeration date
05/25/2017
Last updated
08/02/2022
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