MARK W STATHAM

FLAGSTAFF, AZ
NPI1922002831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  AZ2618)
Enumeration Date2005-06-08
Last Update Date2008-03-04
Business Address
-- MARK W STATHAM PT
715 N BEAVER ST
FLAGSTAFF, AZ 86001
Phone number: 928-773-1601
Mailing Address
-- MARK W STATHAM PT
715 N BEAVER ST
FLAGSTAFF, AZ 86001
Phone number: 928-773-1601
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