Individual
BALDASSARRE STEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-7236
(520) 626-2032
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
17065
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270801
—
AZ
01
—
920000425
RAILROAD MEDICARE
AZ
Enumeration date
11/14/2006
Last updated
05/13/2008
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