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NPI Code Detail

MEDICARE: DR. THOMAS A STEJSKAL MD

MEDICARE: DR. THOMAS A STEJSKAL 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
12085R0202XDiagnostic Radiology Physician14588AZ

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 : 1558312645
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS A STEJSKAL MD
Provider Business Mailing Address
First Line : 2492 E RIVER RD
Second Line :
City : TUCSON
State : AZ
Zip : 85718-9552
Country : US
Telephone Number : 520-722-8994
Fax Number : 520-624-0117
Provider Business Practice Location Address
First Line : 2492 E RIVER RD
Second Line :
City : TUCSON
State : AZ
Zip : 85718-9552
Country : US
Telephone Number : 520-722-8994
Fax Number : 520-624-0117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2006
Last Update Date : 03/03/2016

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Directions to “ DR. THOMAS A STEJSKAL MD” Practice Location

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