MEDICARE: STEVEN SALAS 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	174400000X	Specialist	19918	AZ

General Provider Information

NPI Number	:	1235135278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN SALAS MD

Provider Business Mailing Address
First Line	:	PO BOX 6043
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85261-6043
Country	:	US
Telephone Number	:	480-949-2080
Fax Number	:	480-949-2091

Provider Business Practice Location Address
First Line	:	10250 N 92ND ST
Second Line	:	SUITE 203
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4510
Country	:	US
Telephone Number	:	480-949-2080
Fax Number	:	480-949-2091

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	05/22/2019

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Directions to “ STEVEN SALAS MD” Practice Location

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