Healthcare Provider Details

I. General information

NPI: 1467460766
Provider Name (Legal Business Name): E. DAREN STUMP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 W THOMAS RD ST. JOSEPH'S HOSPITAL
PHOENIX AZ
85013-4409
US

IV. Provider business mailing address

7851 S ELATI ST STE 202
LITTLETON CO
80120-8081
US

V. Phone/Fax

Practice location:
  • Phone: 602-406-3000
  • Fax: 602-406-7165
Mailing address:
  • Phone: 303-759-0854
  • Fax: 303-759-0864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number33601
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: