Individual
DR. MARIA THERESA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1510 E FLOWER ST, PHOENIX, AZ 85014-5656
(602) 821-6569
(602) 530-6901
Mailing address
11232 N 44TH CT, PHOENIX, AZ 85028-3007
(602) 821-6569
(602) 530-6901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27065
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506446
—
AZ
01
—
7378666
AETNA
AZ
01
—
AZ0753760
BC/BS
AZ
Enumeration date
08/02/2005
Last updated
08/06/2010
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