Provider Demographics
NPI:1629019310
Name:PAPA, STEPHEN FRANCIS (PA)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:FRANCIS
Last Name:PAPA
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:655 N ALVERNON WAY
Mailing Address - Street 2:STE 216
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:2155 W ORANGE GROVE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3118
Practice Address - Country:US
Practice Address - Phone:520-742-0414
Practice Address - Fax:520-742-4063
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ3154363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q57666Medicare UPIN