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NPI Code Detail

MEDICARE: DR. BRUCE E STEWART M.D.

MEDICARE: DR. BRUCE E STEWART 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
1207Y00000XOtolaryngology Physician17856AZ

General Provider Information

NPI Number : 1811974835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE E STEWART M.D.
Provider Business Mailing Address
First Line : 2800 E AJO WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6204
Country : US
Telephone Number : 520-874-2778
Fax Number : 520-626-1914
Provider Business Practice Location Address
First Line : 2800 E AJO WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6204
Country : US
Telephone Number : 520-874-2778
Fax Number : 520-626-1914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 07/16/2013

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