Healthcare Provider Details

I. General information

NPI: 1033265715
Provider Name (Legal Business Name): DEBORAH STEGNER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 E CHANDLER BLVD STE 308
PHOENIX AZ
85048-7646
US

IV. Provider business mailing address

2989 W MAPLE LOOP DR STE 210
LEHI UT
84043-7413
US

V. Phone/Fax

Practice location:
  • Phone: 480-626-2024
  • Fax: 480-210-0230
Mailing address:
  • Phone: 801-821-2333
  • Fax: 801-901-1194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number57824
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberCDRH.0045726
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: