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Individual

STEPHEN A COLVIN

Active
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Individual

STEPHEN A COLVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.176148
IL
2085R0202X
Diagnostic Radiology Physician
Primary
27762
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215926274
BCBSAZ
AZ
01
1Z7135
HEALTH NET
AZ
05
574857
AZ
01
82680
JRL
AZ
01
Z142685
MEDICCARE PTAN - ARL
01
Z142686
MEDICARE PTAN - EVDI
AZ
Enumeration date
10/20/2005
Last updated
07/23/2025
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