Individual
DR. STEPHEN F LEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 N SAN FRANCISCO ST, # 200, FLAGSTAFF, AZ 86001-3281
(928) 774-2300
(928) 214-2150
Mailing address
1020 N SAN FRANCISCO ST, # 200, FLAGSTAFF, AZ 86001-3281
(928) 774-2300
(928) 214-2150
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
17751
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17751
AZ STATE LICENSE #
AZ
01
—
18032746
ST COMP FUND AZ
AZ
01
—
2004140
CIGNA
AZ
01
—
240004146
RAILROAD MEDICARE
AZ
05
—
282559
—
AZ
01
—
8607474152004
EMPLOYER ID #
AZ
01
—
AZ0264810
BLUE CROSS/BLUE SHIELD AZ
AZ
05
—
P282559
—
AZ
Enumeration date
05/31/2005
Last updated
10/04/2010
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