Patrick Wayne Stewart

NPI #1760934988 in Mesa, Arizona

Provider Information

NPI Number: 1760934988
Entity Type: Organization
Organization Name: Patrick Wayne Stewart
Subpart: Yes (part of a larger organization)
Parent Organization: PATRICK WAYNE STEWART
Primary Specialty: Voluntary or Charitable
Enumeration Date: Nov 4, 2016
Last Updated: Nov 4, 2016

Practice Location

Address: 1621 E JACINTO AVE
Address 2: 6895
City: Mesa
State: Arizona
ZIP Code: 85204-6895
Phone: (602) 881-7023

Authorized Official

Name: PATRICKWAYNE STEWART X
Title: CHIEF EXECUTIVE ADMINISTRATOR
Phone: (602) 881-7023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Voluntary or Charitable	251V00000X	Primary

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