Healthcare Provider Details
I. General information
NPI: 1811216237
Provider Name (Legal Business Name): STEVEN B. HOLLANDER DPM LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2010
Last Update Date: 05/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6554 E CARONDELET DR BLDG F.
TUCSON AZ
85710-2117
US
IV. Provider business mailing address
6554 E CARONDELET DR BLDG F.
TUCSON AZ
85710-2117
US
V. Phone/Fax
- Phone: 520-393-8827
- Fax: 520-886-2969
- Phone: 520-393-8827
- Fax: 520-886-2969
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0131X |
| Taxonomy | Foot Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEVEN
B.
HOLLANDER
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 520-393-8827