STACEY LOUISE DAULT

TEMPE, AZ
NPI1760775357
Former NameSTACEY LOUISE WETMORE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: AZ  006185)
Enumeration Date2011-05-16
Last Update Date2024-04-09
Business Address
Dr. STACEY LOUISE DAULT DO
6139 S RURAL RD STE 102
TEMPE, AZ 85283-2929
Phone number: 480-846-0688
Mailing Address
Dr. STACEY LOUISE DAULT DO
PO BOX 6085
CHANDLER, AZ 85246-6085
Phone number: 480-846-0688
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