MEDICARE: DR. STEVEN B. WOLPERT 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	207Q00000X	Family Medicine Physician	33208	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1932165032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN B. WOLPERT M.D.

Provider Business Mailing Address
First Line	:	3815 E BELL RD STE 2200
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2139
Country	:	US
Telephone Number	:	602-633-3838
Fax Number	:	602-633-3841

Provider Business Practice Location Address
First Line	:	20542 N LAKE PLEASANT RD STE 115
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-9749
Country	:	US
Telephone Number	:	623-476-5820
Fax Number	:	623-476-5815

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	04/17/2019

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