Individual
JOHN RUSSELL WALTER STEPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 W ARIZONA AVE, PARKER, AZ 85344-5647
(928) 669-2573
Mailing address
1220 W ARIZONA AVE, PARKER, AZ 85344-5647
(928) 669-2573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9995
AZ
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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