STACEY ROOT, PA-C, ATC
Physician Assistant
Active
Individual
NPI: 1518358894
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | No | - |
| Physician Assistant - Surgical | 363AS0400X | No | 8913 (AZ) |
| Physician Assistant | 363A00000X | Yes | 8913 (AZ) |
Frequently Asked Questions
NPI 1518358894 is the National Provider Identifier for STACEY ROOT, PA-C, ATC, a Physician Assistant provider located in San Tan Valley, AZ. This NPI was enumerated on February 9, 2015.
STACEY ROOT, PA-C, ATC practices at 40601 N GANTZEL RD STE 103, San Tan Valley, AZ 85140.
Quick Facts
- NPI
- 1518358894
- Type
- Individual
- Enumerated
- Feb 9, 2015
- Last Updated
- Mar 11, 2024
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