Individual
SAMUEL JACOB STIERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5651 W TALAVI BLVD STE 170, GLENDALE, AZ 85306-1893
(602) 843-1313
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19199
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031014
AETNA
—
01
—
110173205
RR MEDICARE
—
01
—
1Z7305
HEALTH NET
—
01
—
5197885006
CIGNA 200
—
01
—
5197885007
CIGNA 210
—
01
—
860923905
HUMANA PPO
—
01
—
AZ824340
BCBS
—
Enumeration date
08/10/2005
Last updated
01/15/2025
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