MEDICARE: STACY MARIE PEERCY ZOPFI RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	1011116
2	133V00000X	Registered Dietitian	1011116	AZ

General Provider Information

NPI Number	:	1356869432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY MARIE PEERCY ZOPFI RDN

Provider Business Mailing Address
First Line	:	8987 E TANQUE VERDE RD STE 309
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85749-9399
Country	:	US
Telephone Number	:	520-329-1771
Fax Number	:	800-591-9770

Provider Business Practice Location Address
First Line	:	105 S HOUGHTON RD STE 101
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85748-6732
Country	:	US
Telephone Number	:	520-329-1771
Fax Number	:	800-591-9770

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2017
Last Update Date	:	09/07/2025

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