Provider Demographics
NPI:1942205117
Name:SPIESS, STEVEN IRA (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:IRA
Last Name:SPIESS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1760 E FLORENCE BLVD
Mailing Address - Street 2:STE 220
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-4764
Mailing Address - Country:US
Mailing Address - Phone:520-836-2424
Mailing Address - Fax:520-836-4040
Practice Address - Street 1:1760 E FLORENCE BLVD
Practice Address - Street 2:STE 220
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-4768
Practice Address - Country:US
Practice Address - Phone:520-836-2424
Practice Address - Fax:520-836-4040
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2012-01-24
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Provider Licenses
StateLicense IDTaxonomies
AZ22601208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZF85248Medicare UPIN