Doctor Name: | STEVEN JOHN LINDE |
NPI Number: | 1053307843 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 1087 |
Business Practice Address: | 1335 S Pacific Ave Yuma, AZ - 853651725 |
Business Phone Number: | 9289208848 |
Business Fax Number: | 9287822138 |
Mailing Address: | 1335 S Pacific Ave, 1 YUMA |
State: | AZ |
Postal Code: | 853651725 |
Phone Number: | 9289208848 |
Fax Number: | 9287822138 |
NPI Enumeration Date: | 09/27/2005 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |