Provider Demographics
NPI:1518951318
Name:SOUTHERN ARIZONA UROLOGIC ONCOLOGY LTD
Entity Type:Organization
Organization Name:SOUTHERN ARIZONA UROLOGIC ONCOLOGY LTD
Other - Org Name:DEL V STEINBRONN MD PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MD/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEL
Authorized Official - Middle Name:V
Authorized Official - Last Name:STEINBRONN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-321-4266
Mailing Address - Street 1:5240 E KNIGHT DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2122
Mailing Address - Country:US
Mailing Address - Phone:520-321-4266
Mailing Address - Fax:520-321-4048
Practice Address - Street 1:5240 E KNIGHT DR
Practice Address - Street 2:SUITE 108
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2122
Practice Address - Country:US
Practice Address - Phone:520-321-4266
Practice Address - Fax:520-321-4048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ95702085R0001X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
Not Answered208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WCLJB01Medicare ID - Type Unspecified
D00372Medicare UPIN