Bryson, Staci

Bryson, Staci is an individual health care provider with primary practice located at 1400 S Dobson Rd , Mesa AZ 85202-4707. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Bryson, Staci can be contacted via phone (602) 685-5211.

Contact Information

Primary practice address
1400 S Dobson Rd Mesa AZ 85202-4707
Phone: (602) 685-5211
Fax: (602) 685-5325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X 51046 Arizona
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 51046 Arizona

Profile Details

NPI number 1750571923
LBN Legal business name Bryson, Staci
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Aug 5th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750571923 NPPES
Arizona MEDICAID 053086

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