| Doctor Name: | DR. ROBERT W STEVENSON |
| NPI Number: | 1407907199 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G19130 |
| Business Practice Address: | 4212 N 16th St Phoenix, AZ - 85016 |
| Business Phone Number: | 6022631200 |
| Business Fax Number: | 6022631627 |
| Mailing Address: | 4212 N 16th St, PHOENIX |
| State: | AZ |
| Postal Code: | 850165319 |
| Phone Number: | 6022631200 |
| Fax Number: | 6022631627 |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 10/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G19130 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |