Individual provider · Type 1 NPI

Stephanie Gabrielle Von Pahlen-Fedoroff, PAC

Surgical Physician Assistant · Phoenix, AZ

NPI number 1497798573 Active

Practice location

500 W Thomas Rd Ste 400
Phoenix, AZ 85013-4238

Call (602) 406-3874 Map

Fax (602) 406-2335

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X4619 (AZ)
Surgical Physician Assistant Primary 363AS0400X4619 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1497798573

Stephanie Gabrielle Von Pahlen-Fedoroff, PAC's National Provider Identifier is 1497798573, issued on Jun 14, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 6, 2024.