Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stacey Louise Dault, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1760775357

Dr. Stacey Louise Dault, DO is a Family Practice in Tempe, Arizona. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2011, 15 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
AZ
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6139 S Rural Rd Ste 102
Tempe, AZ 85283-2929
Phone: (480) 846-0688
Fax: (480) 741-8650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22044 N 44th St Ste 120, Phoenix, AZ 85050-6103 — (480) 846-0688

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 006185 (AZ)

Record details

NPI number1760775357
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 16, 2011
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing addressPo Box 6085, Chandler, AZ 85246-6085

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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