Provider Demographics
NPI:1265669824
Name:STEWART, ALEX MICHAEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:MICHAEL
Last Name:STEWART
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Gender:M
Credentials:DPM
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Mailing Address - Street 1:15810 S 45TH ST
Mailing Address - Street 2:SUITE 190
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-7694
Mailing Address - Country:US
Mailing Address - Phone:480-893-1090
Mailing Address - Fax:480-598-1458
Practice Address - Street 1:15810 S 45TH ST
Practice Address - Street 2:SUITE 190
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-7694
Practice Address - Country:US
Practice Address - Phone:480-893-1090
Practice Address - Fax:480-598-1458
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2012-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ0743213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery