Provider Demographics
NPI:1598346611
Name:STEPPING STONES PEDIATRICS PLLC
Entity Type:Organization
Organization Name:STEPPING STONES PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:STANGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-401-5437
Mailing Address - Street 1:3009 N 17TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-6117
Mailing Address - Country:US
Mailing Address - Phone:602-803-0306
Mailing Address - Fax:
Practice Address - Street 1:6101 SOUTH RURAL RD.
Practice Address - Street 2:STE 110
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283
Practice Address - Country:US
Practice Address - Phone:623-401-5437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty