| Doctor Name: | DR. NICOLE E STOVALL |
| NPI Number: | 1336174903 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | D64202 |
| Business Practice Address: | 2601 E Roosevelt St Phoenix, AZ - 850084973 |
| Business Phone Number: | 6023441516 |
| Business Fax Number: | 6023441004 |
| Mailing Address: | 3225 E Elwood St, Ste. 110 PHOENIX |
| State: | AZ |
| Postal Code: | 850347259 |
| Phone Number: | 6024705000 |
| Fax Number: | 6023282115 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 07/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | D64202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |