Stacey Louise Dault, DO Valid NPI

Individual provider · Sports Medicine (Family Medicine) Physician · Tempe, AZ

NPI

1760775357

Type

Individual (Type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QS0010X

License number

006185 (AZ)

Sex

Female

Sole proprietor

No

Enumerated

2011-05-16

Last updated

2026-05-07