MEDICARE: DEBORAH STEGNER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	57824	AZ
2	2084P0800X	Psychiatry Physician	CDRH.0045726	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	022136	OTHER	CO	KAISER COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033265715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH STEGNER MD

Provider Business Mailing Address
First Line	:	2989 W MAPLE LOOP DR STE 210
Second Line	:
City	:	LEHI
State	:	UT
Zip	:	84043-7413
Country	:	US
Telephone Number	:	801-821-2333
Fax Number	:	801-901-1194

Provider Business Practice Location Address
First Line	:	4545 E CHANDLER BLVD STE 308
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-7646
Country	:	US
Telephone Number	:	480-626-2024
Fax Number	:	480-210-0230

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	07/10/2020

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