Individual provider · Type 1 NPI

Soni Elizabeth Stake, MD

General Practice Physician · Douglas, AZ

NPI number 1487844395 Active

Practice location

100 E 5th St
Douglas, AZ 85607-2859

Call (520) 364-7659 Map

Fax (520) 364-8541

Mailing address

3815 E Edna Ave
Phoenix, AZ 85032-2101

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X40468 (AZ)
Surgery Physician 208600000X40468 (AZ)
General Practice Physician Primary 208D00000X40468 (AZ)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1487844395

Soni Elizabeth Stake, MD's National Provider Identifier is 1487844395, issued on Jul 26, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Douglas, AZ. The record was last updated on Sep 12, 2022.