Soni Elizabeth Stake, MD
General Practice Physician · Douglas, AZ
Practice location
100 E 5TH StDouglas, AZ 85607-2859
- Phone
- (520) 364-7659
- Fax
- (520) 364-8541
NPI record
- NPI
- 1487844395
- Entity type
- Individual (Type 1)
- Enumeration date
- July 26, 2007
- Last updated
- September 12, 2022
- Certified
- September 12, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Physician Primary | 208D00000X |
40468 | AZ |
| Internal Medicine Physician | 207R00000X |
40468 | AZ |
| Surgery Physician | 208600000X |
40468 | AZ |
Mailing address
3815 E Edna AvePhoenix, AZ 85032-2101
- Phone
- (313) 570-1752
About Dr. Stake
Soni Elizabeth Stake, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 100 E 5TH St, Douglas, AZ 85607-2859. The NPI number 1487844395 was assigned on July 26, 2007 and the record was last updated on September 12, 2022.
Dr. Stake lists 3 licenses in the registry: #40468 (AZ) for General Practice Physician; #40468 (AZ) for Internal Medicine Physician; #40468 (AZ) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Soni Elizabeth Stake, MD?
The NPI number is 1487844395.
What is the phone number of Dr. Stake?
The phone number listed for the practice location is (520) 364-7659.
Where is Dr. Stake located?
100 E 5TH St, Douglas, AZ 85607-2859.
What is the taxonomy code for Dr. Stake?
The primary taxonomy code is 208D00000X – General Practice Physician; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Physician providers in Douglas
- Panayiotis A. Ellinas II, MD, MPH100 E 5TH St