Individual
DR. STEVEN M LISOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9165 W THUNDERBIRD RD, PEORIA, AZ 85381-4847
(623) 523-6555
(623) 523-6586
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-6922
(623) 972-9590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4567
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367240
—
AZ
Enumeration date
09/21/2005
Last updated
03/02/2009
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