Individual
DR. STEVEN P LAITIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11024 N 28TH DR, SUITE 160, PHOENIX, AZ 85029-4377
(480) 361-7680
(480) 361-7683
Mailing address
PO BOX 72090, PHOENIX, AZ 85050-1019
(480) 361-7680
(480) 361-7683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24192
AZ
207L00000X
Anesthesiology Physician
Primary
24192
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
24192
AZ
208VP0000X
Pain Medicine Physician
24192
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351792
—
AZ
01
—
Z28744
MEDICARE
AZ
Enumeration date
09/22/2005
Last updated
12/04/2019
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