Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 005825 | AZ |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 005825 | AZ |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 246319 | MA |
NPI | 1295990471 |
---|---|
Provider Name | Dr. Steven Douglas Werner JR. |
First Address | Phoenix, AZ 85085-8874 |
Second Address | Phoenix, AZ 85085-8874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2008 |
Last Update Date | 18/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
687932 | (05) | AZ |