Provider Demographics
NPI:1366565038
Name:LABROZZI, STEVEN (RPH PA-C)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:LABROZZI
Suffix:
Gender:M
Credentials:RPH PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2973
Mailing Address - Street 2:
Mailing Address - City:KAYENTA
Mailing Address - State:AZ
Mailing Address - Zip Code:86033-2973
Mailing Address - Country:US
Mailing Address - Phone:928-697-4167
Mailing Address - Fax:928-697-4168
Practice Address - Street 1:HWY 163
Practice Address - Street 2:BLDG KA-2010
Practice Address - City:KAYENTA
Practice Address - State:AZ
Practice Address - Zip Code:86033
Practice Address - Country:US
Practice Address - Phone:928-697-4167
Practice Address - Fax:928-697-4168
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-031820-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist