MEDICARE: DR. STEVEN J. LOCNIKAR D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0401X	Addiction Medicine (Family Medicine) Physician	005284	AZ
2	207YS0123X	Facial Plastic Surgery Physician	005284	AZ

General Provider Information

NPI Number	:	1184932782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN J. LOCNIKAR D.O.

Provider Business Mailing Address
First Line	:	11390 E VIA LINDA
Second Line	:	103
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85259-4075
Country	:	US
Telephone Number	:	480-219-0055
Fax Number	:	480-219-0330

Provider Business Practice Location Address
First Line	:	11390 E VIA LINDA
Second Line	:	103
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85259-4075
Country	:	US
Telephone Number	:	480-219-0055
Fax Number	:	480-219-0330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2010
Last Update Date	:	04/08/2016

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