Healthcare Provider Details

I. General information

NPI: 1265595581
Provider Name (Legal Business Name): STEVEN JEFFREY SCHAFFNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 02/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 E THOMAS RD
PHOENIX AZ
85016-7711
US

IV. Provider business mailing address

5750 E INDIAN BEND RD
PARADISE VALLEY AZ
85253-3432
US

V. Phone/Fax

Practice location:
  • Phone: 602-532-1000
  • Fax: 602-532-2020
Mailing address:
  • Phone: 408-951-0131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number8163
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: