Healthcare Provider Details

I. General information

NPI: 1750355483
Provider Name (Legal Business Name): STEVEN L. OSCHERWITZ M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 04/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4022 E PRESIDIO ST
MESA AZ
85215-1113
US

IV. Provider business mailing address

4022 E PRESIDIO ST
MESA AZ
85215-1113
US

V. Phone/Fax

Practice location:
  • Phone: 480-588-0214
  • Fax: 480-985-0468
Mailing address:
  • Phone: 480-588-0214
  • Fax: 480-985-0468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number20696
License Number StateAZ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. STEVEN LEE OSCHERWITZ
Title or Position: MD
Credential: MD
Phone: 480-588-0214