Provider Demographics
NPI:1013170091
Name:HOWELL, STEPHEN GEDDES (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:GEDDES
Last Name:HOWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12995 N ORACLE RD
Mailing Address - Street 2:STE 141, #411
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-9528
Mailing Address - Country:US
Mailing Address - Phone:520-495-0198
Mailing Address - Fax:866-713-6734
Practice Address - Street 1:12995 N ORACLE RD
Practice Address - Street 2:STE 141, #411
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739-9528
Practice Address - Country:US
Practice Address - Phone:520-495-0198
Practice Address - Fax:866-713-6734
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ45874207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ197967Medicare PIN