Healthcare Provider Details

I. General information

NPI: 1780672493
Provider Name (Legal Business Name): STEVEN J LABAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 E HIGHLAND AVE STE 204&205
PHOENIX AZ
85016-4872
US

IV. Provider business mailing address

7330 N 16TH ST STE B101
PHOENIX AZ
85020-5274
US

V. Phone/Fax

Practice location:
  • Phone: 602-358-8588
  • Fax: 602-688-6991
Mailing address:
  • Phone: 602-358-8588
  • Fax: 602-688-6991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: