Healthcare Provider Details

I. General information

NPI: 1770570129
Provider Name (Legal Business Name): SCOTT ALLEN STEINGARD D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9801 N METRO PKWY E
PHOENIX AZ
85051-1513
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 602-249-0115
  • Fax:
Mailing address:
  • Phone: 702-838-8265
  • Fax: 702-804-3788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number2346
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2346
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: