Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 61787 | AZ |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 61787 | AZ |
NPI | 1013320431 |
---|---|
Provider Name | Dr. Stephen Joseph Ros |
First Address | Phoenix, AZ 85023-1266 |
Second Address | Flagstaff, AZ 86001-2000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2014 |
Last Update Date | 27/08/2020 |