LANDIS BROOK STOKUM

GILBERT, AZ
NPI1376160978
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  RNP243406)
Enumeration Date2020-06-30
Last Update Date2020-06-30
Business Address
LANDIS BROOK STOKUM PMHNP
2730 S VAL VISTA DR STE 146
GILBERT, AZ 85295-1679
Phone number: 480-542-0202
Mailing Address
LANDIS BROOK STOKUM PMHNP
342 E BACKMAN ST
SAN TAN VALLEY, AZ 85140-4290
Phone number: 480-274-9033