| Doctor Name: | DR. GRACE ELMA STEWART |
| NPI Number: | 1912126293 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | AZ15608 |
| Business Practice Address: | 5850 E Still Cir Mesa, AZ - 852063618 |
| Business Phone Number: | 4802196050 |
| Business Fax Number: | |
| Mailing Address: | 315 W El Camino Dr, PHOENIX |
| State: | AZ |
| Postal Code: | 850215524 |
| Phone Number: | 6029439657 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | AZ15608 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |