Healthcare Provider Details

I. General information

NPI: 1336883008
Provider Name (Legal Business Name): PAYGE V MORACA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAYGE VAN STECHELMAN DO

II. Dates (important events)

Enumeration Date: 04/27/2022
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 E SHEA BLVD
SCOTTSDALE AZ
85259-5499
US

IV. Provider business mailing address

1919 E THOMAS RD
PHOENIX AZ
85016-7710
US

V. Phone/Fax

Practice location:
  • Phone: 480-301-8000
  • Fax:
Mailing address:
  • Phone: 602-933-0945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number011680
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: