Healthcare Provider Details

I. General information

NPI: 1295990471
Provider Name (Legal Business Name): STEVEN DOUGLAS WERNER JR. DO.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2008
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33423 N 32ND AVE STE 2200
PHOENIX AZ
85085-8874
US

IV. Provider business mailing address

33423 N 32ND AVE STE 2200
PHOENIX AZ
85085-8874
US

V. Phone/Fax

Practice location:
  • Phone: 623-683-8000
  • Fax: 480-882-5887
Mailing address:
  • Phone: 623-683-8000
  • Fax: 480-882-5887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number005825
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number246319
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number005825
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: