Provider Demographics
NPI:1225024375
Name:PERLMUTTER, STEVEN B (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:B
Last Name:PERLMUTTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14227 N 69TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-3480
Mailing Address - Country:US
Mailing Address - Phone:480-368-2922
Mailing Address - Fax:480-368-5488
Practice Address - Street 1:1530 W GLENDALE AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-8578
Practice Address - Country:US
Practice Address - Phone:602-995-2000
Practice Address - Fax:602-995-8408
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-23
Last Update Date:2007-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ15219207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD00105Medicare UPIN
AZZ18WCHWY01Medicare PIN