Martha Stacey II is a Specialist based in Phoenix, AZ. Martha Stacey II practices in Phoenix, AZ. The NPI Number for Martha Stacey II is 1093804668 and holds a License No. 0375 (Arizona).
The current practice location address for Martha Stacey II is 15002 N 32Nd St, Phoenix, AZ and can be reached out via phone at 602-867-5223.
Location: 15002 N 32Nd St, Phoenix, AZ, 85032-4441
Provider Profile Details
NPI Number
1093804668
Provider Name
Martha Stacey II
Credential
Provider Entity Type
Individual
Gender
Female
Address
15002 N 32Nd St, Phoenix, AZ, 85032-4441
Phone Number
602-867-5223
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770215 | 05 | AZ |
Provider Business Practice Location Address Details
Address
15002 N 32Nd St
City
State
Zip
85032-4441
Phone Number
602-867-5223
Fax Number
Provider Business Mailing Address Details
Address
15002 N 32Nd St
City
State
Zip
85032-4441
Phone Number
602-867-5223
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
0375 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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