Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 23726 | AZ |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 23726 | AZ |
N | 2086S0105X | Surgery of the Hand | 23726 | AZ |
NPI | 1841265113 |
---|---|
Provider Name | Steven A. Shapiro |
First Address | Tucson, AZ 85751-1630 |
Second Address | Tucson, AZ 85741-3548 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 10/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
23726 | MEDICAL LICENSE (01) | AZ |
361585 | (05) | AZ |
F64924 | (02) |