Individual
MR. STEVEN WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1953 E BRENTRUP DR, TEMPE, AZ 85283-4926
(480) 820-0566
Mailing address
1953 E BRENTRUP DR, TEMPE, AZ 85283-4926
(480) 820-0566
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
3884
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
744484
AHCCCS
AZ
Enumeration date
11/21/2006
Last updated
07/08/2007
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