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Individual

DR. STEVE FANTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7320 E DEER VALLEY, J100, SCOTTSDALE, AZ 85255
(480) 502-0250
(480) 596-2490
Mailing address
PO BOX 26356, SCOTTSDALE, AZ 85255
(480) 502-0250
(480) 596-2490

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
21514
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0351160
BCBS
AZ
Enumeration date
09/19/2006
Last updated
09/11/2007
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