Healthcare Provider Details

I. General information

NPI: 1689863219
Provider Name (Legal Business Name): STEVE FANTO, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 E. DEER VALLEY #100
SCOTTSDALE AZ
85255
US

IV. Provider business mailing address

7320 E DEER VALLEY RD #100
SCOTTSDALE AZ
85255-7453
US

V. Phone/Fax

Practice location:
  • Phone: 480-502-0250
  • Fax: 480-596-2490
Mailing address:
  • Phone: 480-502-0250
  • Fax: 480-596-2490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number21415
License Number StateAZ

VIII. Authorized Official

Name: MRS. EILEEN LESZCZYNSKI
Title or Position: OFFICE MANAGER
Credential:
Phone: 480-502-0250