Individual
STEVEN CERVI-SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6644 E BAYWOOD AVE, MESA, AZ 85206-1747
(480) 981-4391
(480) 981-4624
Mailing address
PO BOX 708850, SANDY, UT 84070-8850
(866) 869-2395
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26268
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274895
—
OR
05
—
42584405
—
AZ
01
—
77130
BCBS-NAMPA
ID
01
—
838334004
BCBS-ROSEBURG
OR
01
—
858463008
BCBS-MEDFORD
OR
01
—
858464002
BCBS-SPRINGFIELD
OR
01
—
B6148
BCBS-CALDWELL
ID
01
—
P00177938
RR MEDICARE
OR
01
—
R130958
MEDICARE-TYPE UNSPECIFIED
OR
Enumeration date
03/28/2006
Last updated
05/13/2008
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