Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 15-1496 | AZ |
NPI | 1073983516 |
---|---|
Provider Name | Dr. Sarah Stone |
First Address | Mesa, AZ 85202-5534 |
Second Address | Mesa, AZ 85202-5534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2015 |
Last Update Date | 27/09/2015 |