person
Stacey Mcilroy, PA-C
Surgical Physician Assistant in Newport Beach, California
NPI 1639155740

Stacey Mcilroy is a Surgical Physician Assistant based in Newport Beach, CA and is specialized in Surgical. Stacey Mcilroy practices in Newport Beach, CA and has the professional credentials of PA-C. The NPI Number for Stacey Mcilroy is 1639155740 and holds a License No. 2272 (California).

The current practice location address for Stacey Mcilroy is 22 Corporate Plaza Dr, Newport Beach, CA and can be reached out via phone at 949-722-7038 and via fax at 949-630-4900.

Location: 22 Corporate Plaza Dr, Newport Beach, CA, 92660
person
Provider Profile Details
NPI Number
1639155740
Provider Name
Stacey Mcilroy
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
22 Corporate Plaza Dr, Newport Beach, CA, 92660
Phone Number
949-722-7038
Fax Number
949-630-4900
Provider Enumeration Date
12/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
486549 05 AZ
P00021617 01 AZ RAILROAD MEDICARE
86080015085259C297 01 AZ TRIWEST
institution
Provider Business Practice Location Address Details
Address
22 Corporate Plaza Dr
City
State
Zip
92660-7985
Phone Number
949-722-7038
Fax Number
949-630-4900
person
Provider Business Mailing Address Details
Address
22 Corporate Plaza Dr
City
State
Zip
92660-7985
Phone Number
949-722-7038
Fax Number
949-630-4900
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2272 (Arizona)
Definition
Definition to come...
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