Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 005284 | AZ |
N | 207YS0123X | Facial Plastic Surgeon | 005284 | AZ |
NPI | 1184932782 |
---|---|
Provider Name | Dr. Steven J. Locnikar |
First Address | Scottsdale, AZ 85259-4075 |
Second Address | Scottsdale, AZ 85259-4075 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2010 |
Last Update Date | 08/04/2016 |