Healthcare Provider Details

I. General information

NPI: 1649419789
Provider Name (Legal Business Name): STEVEN J LABAND MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2009
Last Update Date: 02/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3102 E INDIAN SCHOOL RD 130
PHOENIX AZ
85016-6872
US

IV. Provider business mailing address

3102 EAST INDIAN SCHOOL ROAD 130
PHOENIX AZ
85016-6872
US

V. Phone/Fax

Practice location:
  • Phone: 602-252-0202
  • Fax: 602-424-2053
Mailing address:
  • Phone: 602-252-0202
  • Fax: 602-424-2053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number16397
License Number StateAZ

VIII. Authorized Official

Name: STEVEN LABAND
Title or Position: PRESIDENT
Credential: M.D.
Phone: 602-252-0202