Provider Demographics
NPI:1598735813
Name:HWANG, STEPHEN S (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:S
Last Name:HWANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 E OSBORN
Mailing Address - Street 2:STE 100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012
Mailing Address - Country:US
Mailing Address - Phone:602-254-7255
Mailing Address - Fax:602-254-2278
Practice Address - Street 1:7245 E OSBORN RD
Practice Address - Street 2:STE 4
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6443
Practice Address - Country:US
Practice Address - Phone:480-994-5012
Practice Address - Fax:480-994-1948
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2008-03-27
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Provider Licenses
StateLicense IDTaxonomies
AZ32896207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZI13044Medicare UPIN
AZ79605Medicare ID - Type Unspecified