Individual
STEVEN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
555 N 18TH ST STE 300, PHOENIX, AZ 85006-3759
(602) 507-4457
(602) 507-4459
Mailing address
4801 E WASHINGTON ST STE 200, PHOENIX, AZ 85034-2019
(602) 797-7099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2291
AZ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
R2291
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278834
—
AZ
01
—
R2291
TRAINING PERMIT
AZ
01
—
Z203821
MEDICARE
AZ
Enumeration date
06/24/2013
Last updated
09/11/2019
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