Individual
STEVEN A WIDMER
Active
Individual
STEVEN A WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
49094
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
099273
OH
207X00000X
Orthopaedic Surgery Physician
49094
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
49094
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915306
—
AZ
Enumeration date
06/26/2009
Last updated
07/27/2015
Update your record
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