Individual
JUSTIN STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4344 W BELL RD STE 102, GLENDALE, AZ 85308-3589
(602) 588-4040
Mailing address
6219 N 13TH ST, PHOENIX, AZ 85014-1736
(480) 239-9482
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
59740
AZ
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
59740
AZ
Other
Enumeration date
04/11/2017
Last updated
12/08/2025
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