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NPI Code Detail

MEDICARE: DR. NED DARREL STOLZBERG M.D.

MEDICARE: DR. NED DARREL STOLZBERG M.D.
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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician22976AZ
2207Q00000XFamily Medicine Physician22976AZ

General Provider Information

NPI Number : 1700844842
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NED DARREL STOLZBERG M.D.
Provider Business Mailing Address
First Line : 1510 E FLOWER ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5698
Country : US
Telephone Number : 602-530-6900
Fax Number :
Provider Business Practice Location Address
First Line : 1510 E FLOWER ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5698
Country : US
Telephone Number : 623-362-8866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 08/11/2025

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