Individual
DR. STEPHEN F LEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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