Individual provider · Type 1 NPI

Stacey McIlroy, P.A.-C.

Surgical Physician Assistant · Newport Beach, CA

NPI number 1639155740 Active

Practice location

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985

Call (949) 722-7038 Map

Fax (949) 630-4900

Mailing address

22 Corporate Plaza Dr.
Newport Beach, CA 92660

Other practice locations

  • 485 S Dobson Rd, Suite 201, Chandler, AZ 85224-5602 · (480) 728-4700

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X2272 (AZ)
Surgical Physician Assistant Primary 363AS0400X53563 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1639155740

Stacey McIlroy, P.A.-C.'s National Provider Identifier is 1639155740, issued on Dec 20, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Newport Beach, CA. The record was last updated on Mar 17, 2018.