Individual
SCOTT T STEFFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3155 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-3903
(336) 794-4372
(336) 659-2379
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5000
(336) 970-5298
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
200100790
NC
2085R0202X
Diagnostic Radiology Physician
Primary
200100790
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891313T
—
NC
01
—
POO834974
RR MEDICARE
NC
Enumeration date
12/02/2005
Last updated
03/07/2011
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