Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY ROOT, PA-C, ATC
ActiveSTACEY ROOT, PA-C, ATC is a Physician Assistant healthcare provider located in SAN TAN VALLEY, Arizona. NPI 1518358894 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAN TAN VALLEY, AZ
Registration Details
- NPI Number
- 1518358894
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 9, 2015 (11.32777326353 yrs)
- Last Updated
- Mar 11, 2024
- Licenses
-
8913 (AZ)8913 (AZ)
Practice Information
- Address
-
40601 N GANTZEL RD STE 103SAN TAN VALLEY, AZ, 851407036Browse AZ providers · Browse ZIP 85140
- Phone
- 6026485444
- Fax
- 6027723801
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SAN TAN VALLEY, AZ
| Name | Credential | NPI |
|---|---|---|
| KEVIN EARLYWINE | PA-C | 1023083144 |
| MS. MITZI D NALLEY | PA-C | 1598722324 |
| MR. ALBERT RAY TUTTLE | PA-C | 1912094772 |
| CYNTHIA LOUISE THOMAS | PA-C | 1972798866 |
| CASSANDRA J. MCLAUGHLIN | PA-C | 1497913594 |
| MR. RILEY HOOKS | PA-C | 1821491713 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.