Provider Demographics
NPI:1265846422
Name:STEERMAN, GREGORY SCOTT (LAC,MACOM)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:SCOTT
Last Name:STEERMAN
Suffix:
Gender:M
Credentials:LAC,MACOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1647 N ALVERNON WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-3361
Mailing Address - Country:US
Mailing Address - Phone:520-850-4026
Mailing Address - Fax:
Practice Address - Street 1:1647 N ALVERNON WAY STE 1
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-3361
Practice Address - Country:US
Practice Address - Phone:520-850-4026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0577171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist