Healthcare Provider Details

I. General information

NPI: 1376649541
Provider Name (Legal Business Name): THOMAS STEMPEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 09/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 E VIRGINIA AVE STE 170
PHOENIX AZ
85004-1195
US

IV. Provider business mailing address

3001 E CLARENDON AVE
PHOENIX AZ
85016-7014
US

V. Phone/Fax

Practice location:
  • Phone: 602-254-0071
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number29183
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number29183
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: