Healthcare Provider Details

I. General information

NPI: 1457369464
Provider Name (Legal Business Name): JAMES WALTER STEINER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JAMES WALTER STEINER MD

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 01/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2445 NORTH HAYDEN ROAD
SCOTTSDALE AZ
85257-2303
US

IV. Provider business mailing address

2445 NORTH HAYDEN ROAD
SCOTTSDALE AZ
85257-2303
US

V. Phone/Fax

Practice location:
  • Phone: 480-947-3451
  • Fax: 480-945-7614
Mailing address:
  • Phone: 480-947-3451
  • Fax: 480-945-7614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number12795
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: