Provider Demographics
NPI:1134133382
Name:HARTLAND, STEVEN MICHAEL (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MISS
First Name:STEVEN
Middle Name:MICHAEL
Last Name:HARTLAND
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Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:15150 N HAYDEN RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2514
Mailing Address - Country:US
Mailing Address - Phone:480-323-1880
Mailing Address - Fax:480-905-1136
Practice Address - Street 1:15150 N HAYDEN RD
Practice Address - Street 2:SUITE 110
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2514
Practice Address - Country:US
Practice Address - Phone:480-323-1880
Practice Address - Fax:480-905-1136
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZ2127363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant