MEDICARE: DR. JOHN STEVEN HUNTER M.D.

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	207L00000X	Anesthesiology Physician	20040	AZ

General Provider Information

NPI Number	:	1154328623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN STEVEN HUNTER M.D.

Provider Business Mailing Address
First Line	:	15580 N DOVE CANYON PASS
Second Line	:
City	:	MARANA
State	:	AZ
Zip	:	85658-0026
Country	:	US
Telephone Number	:	520-954-9330
Fax Number	:

Provider Business Practice Location Address
First Line	:	2490 E RIVER RD STE 150
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-6522
Country	:	US
Telephone Number	:	520-382-1084
Fax Number	:	520-615-4572

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	12/13/2021

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