Individual
STEPHEN E LINDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 COLE AVE, BISBEE, AZ 85603-1327
(520) 432-2042
(520) 432-2098
Mailing address
101 COLE AVE, BISBEE, AZ 85603-1327
(520) 432-2042
(520) 432-5082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7583
AZ
208000000X
Pediatrics Physician
Primary
7585
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210138
—
AZ
Enumeration date
09/22/2005
Last updated
02/24/2015
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