Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STACEY LOUISE DAULT, DO
ActiveDR. STACEY LOUISE DAULT, DO is a Sports Medicine healthcare provider located in TEMPE, Arizona. NPI 1760775357 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · TEMPE, AZ
Registration Details
- NPI Number
- 1760775357
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2011 (15.236603115383 yrs)
- Last Updated
- Apr 9, 2024
- License
-
006185 (AZ)
Practice Information
- Address
-
6139 S RURAL RD STE 102TEMPE, AZ, 852832929Browse AZ providers · Browse ZIP 85283
- Phone
- 4808460688
- Fax
- 4807418650
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in TEMPE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS C FIEL | D.O. | 1235134552 |
| MR. CHRISTOPHER CLARKE JOHNSON | PA-C | 1295459063 |
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.