Healthcare Provider Details

I. General information

NPI: 1821097841
Provider Name (Legal Business Name): STEVEN M HERF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 03/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12520 W BAJADA RD
PEORIA AZ
85383-2805
US

IV. Provider business mailing address

12520 W BAJADA RD
PEORIA AZ
85383-2805
US

V. Phone/Fax

Practice location:
  • Phone: 623-476-2873
  • Fax:
Mailing address:
  • Phone: 623-476-2873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01028290B
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number34971
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: