Individual
DR. STEPHEN A CANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
726 GAIL GARDNER WAY, SUITE B, PRESCOTT, AZ 86305
(928) 778-0309
(928) 778-2678
Mailing address
3199 RAINBOW RIDGE DR, PRESCOTT, AZ 86303-5768
(928) 771-2478
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22564
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179558
—
AZ
Enumeration date
07/19/2005
Last updated
08/20/2018
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