Individual
DR. STEVEN MICHAEL LUZADER PRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4881 E GRANT RD STE 101, TUCSON, AZ 85712-2704
(520) 318-6035
(520) 795-9953
Mailing address
4881 E GRANT RD STE 101, TUCSON, AZ 85712-2704
(520) 318-6035
(520) 795-9953
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Q5906
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
54777
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431698
—
AZ
Enumeration date
05/28/2013
Last updated
09/07/2021
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