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NPI Code Detail

MEDICARE: STEPHEN DOOLEY CEP

MEDICARE: STEPHEN DOOLEY CEP
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
1172A00000XDriverAZ

General Provider Information

NPI Number : 1083096069
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN DOOLEY CEP
Provider Business Mailing Address
First Line : 6991 E CAMELBACK RD STE D300
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-2492
Country : US
Telephone Number : 480-378-6617
Fax Number :
Provider Business Practice Location Address
First Line : 6991 E CAMELBACK RD STE D300
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-2492
Country : US
Telephone Number : 480-378-6617
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2015
Last Update Date : 06/25/2015

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Directions to “ STEPHEN DOOLEY CEP” Practice Location

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