Individual
STEVEN O HIAASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13184 N 103RD DR, SUN CITY, AZ 85351-3038
(623) 972-2902
(623) 972-2539
Mailing address
13184 N 103RD DR, SUN CITY, AZ 85351-3038
(623) 972-2902
(623) 972-2539
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
18654
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18654
STATE LICENSE
AZ
Enumeration date
07/07/2005
Last updated
09/26/2007
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