Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 47610 | AZ |
N | 207X00000X | Orthopaedic Surgeon | TRN11423 | FL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 47610 | AZ |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 47610 | AZ |
N | 2086S0105X | Surgery of the Hand | 47610 | AZ |
NPI | 1760685226 |
---|---|
Provider Name | Dr. Christopher Stevens |
First Address | Tucson, AZ 85751-1630 |
Second Address | Oro Valley, AZ 85755-5819 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 13/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
915264 | (05) | AZ |