Martinez Hawthorne, Stephanie D

Martinez Hawthorne, Stephanie D is an individual health care provider with primary practice located at 7701 W Aspera Blvd , Glendale AZ 85308-7947. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Martinez Hawthorne, Stephanie D can be contacted via phone (623) 248-2109.

Contact Information

Primary practice address
7701 W Aspera Blvd Glendale AZ 85308-7947
Phone: (623) 248-2109
Fax: (623) 707-4893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 29691 Arizona

Profile Details

NPI number 1003872037
LBN Legal business name Martinez Hawthorne, Stephanie D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 25th, 2022 - about 4 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 1003872037 NPPES
Arizona MEDICAID 709107

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