Provider Demographics
NPI:1871771519
Name:STALKER, MARY ANN (ND)
Entity type:Individual
Prefix:DR
First Name:MARY ANN
Middle Name:
Last Name:STALKER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
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Mailing Address - Street 1:8231 EAST INDIAN BEND
Mailing Address - Street 2:SUITE 116
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250
Mailing Address - Country:US
Mailing Address - Phone:480-883-7240
Mailing Address - Fax:480-883-7241
Practice Address - Street 1:8231 EAST INDIAN BEND
Practice Address - Street 2:SUITE 116
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250
Practice Address - Country:US
Practice Address - Phone:480-883-7240
Practice Address - Fax:480-883-7241
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ06-912175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath