Doctor Name: | STEVEN L SHOLEM |
NPI Number: | 1174515837 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | AZ8885 |
Business Practice Address: | 4045 E Bell Rd 157 Phoenix, AZ - 850322236 |
Business Phone Number: | 6022655555 |
Business Fax Number: | 6029715032 |
Mailing Address: | 4045 E Bell Rd, Suite 157 PHOENIX |
State: | AZ |
Postal Code: | 850322236 |
Phone Number: | 6022655555 |
Fax Number: | 6029715032 |
NPI Enumeration Date: | 08/18/2005 |
NPI Last Update Date: | 10/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | AZ8885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |