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General NPI Number Information
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NPI Number | 1912914870
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Entity Type | Individual
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Provider Name | JOHN MICHAEL STEIN M.D
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/22/2017
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Provider Practice Location Address
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Address Line | 7301 E 2ND ST STE 310
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5627
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Country | US
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Telephone | 480-970-1640
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Fax | 480-970-1641
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Provider Business Mailing Address
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Address Line | 9502 N 46TH ST
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City | PHOENIX
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State | AZ
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Zip | 85028-5201
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Country | US
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Telephone | 623-977-5466
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Fax | 623-875-8779
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 11573
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License Number State | AZ
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