Dr. Stacy Elizabeth Gustin, D.O.
Family Medicine in Phoenix, AZ. Individual provider (NPI-1).
NPI number1265618136
StatusActive
Last updated in NPPESSep 25, 2014
Details
- NPI
- 1265618136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stacy Elizabeth Gustin
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2008
- Last updated
- Sep 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4643 | AZ | Yes |
Practice location
4840 E Indian School RdSuite 100
Phoenix, AZ 85018-5500
Phone 480-882-7360 · Fax 602-952-9432
Mailing address
4840 E Indian School RdSuite 100
Phoenix, AZ 85018-5500
Phone 480-882-7360 · Fax 602-840-4250
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