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NPI Code Detail

MEDICARE: MR. DAVID L STEVENS PA-C

MEDICARE: MR. DAVID L STEVENS PA-C
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
1363A00000XPhysician Assistant2048AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386618965
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID L STEVENS PA-C
Provider Business Mailing Address
First Line : 8245 E CROOKED TREE TRL
Second Line :
City : TUCSON
State : AZ
Zip : 85715-5253
Country : US
Telephone Number : 928-343-1832
Fax Number :
Provider Business Practice Location Address
First Line : 6390 E BROADWAY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85710-3517
Country : US
Telephone Number : 520-733-2250
Fax Number : 520-733-2270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 03/04/2026

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Directions to “ MR. DAVID L STEVENS PA-C” Practice Location

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