Healthcare Provider Details

I. General information

NPI: 1558512400
Provider Name (Legal Business Name): LAURENT STEPHUN HELMS JR. N.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2008
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 E BROADWAY RD
MESA AZ
85204-1904
US

IV. Provider business mailing address

3550 E BROADWAY RD
MESA AZ
85204-1904
US

V. Phone/Fax

Practice location:
  • Phone: 801-696-6791
  • Fax:
Mailing address:
  • Phone: 801-696-6791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number07-971
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: