MEDICARE: E & J STEIN MD PC

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	208600000X	Surgery Physician	11573	AZ

General Provider Information

NPI Number	:	1144460502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E & J STEIN MD PC

Provider Business Mailing Address
First Line	:	3370 N HAYDEN RD # 123-315
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-6632
Country	:	US
Telephone Number	:	480-970-1640
Fax Number	:	480-970-1641

Provider Business Practice Location Address
First Line	:	9502 N 46TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85028-5201
Country	:	US
Telephone Number	:	480-970-1640
Fax Number	:	480-970-1641

Authorized Official
Title or Position	:	PHYSICIAN/PRESIDENT
Name	:	DR. JOHN M STEIN
Credential	:	MD
Telephone Number	:	480-970-1640

Provider Enumeration Date	:	02/25/2009
Last Update Date	:	01/06/2010

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