Individual provider · Type 1 NPI

Stacey Louise Dault, DO

Sports Medicine (Family Medicine) Physician · Tempe, AZ

NPI number 1760775357 Active

Practice location

6139 S Rural Rd Ste 102
Tempe, AZ 85283-2929

Fax (480) 741-8650

Mailing address

PO Box 6085
Chandler, AZ 85246-6085

Other practice locations

  • 22044 N 44th St Ste 120, Phoenix, AZ 85050-6103 · (480) 846-0688

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010X006185 (AZ)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1760775357

Stacey Louise Dault, DO's National Provider Identifier is 1760775357, issued on May 16, 2011. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Tempe, AZ. The record was last updated on May 7, 2026.