Arizona
Board of Licensing
Stacie J. Wagner PA
Physician Assistant
License number
2122
Date granted
09/28/1998
Class
Physician Assistant
Status
Active
Address
Neonatology Associates Ltd, 350 W Thomas Rd, Phoenix AZ 85013-4409
arizonalicensing.com
ID 22777507
LAST UPDATED 2024-04-03 12:24:12 UTC
LAST UPDATED 2024-04-03 12:24:12 UTC