Provider Demographics
NPI:1881921963
Name:SPITZ, STEVE G (CST/CFA)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:G
Last Name:SPITZ
Suffix:
Gender:M
Credentials:CST/CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 MILLAUDON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-3711
Mailing Address - Country:US
Mailing Address - Phone:504-442-3361
Mailing Address - Fax:504-865-7111
Practice Address - Street 1:315 MILLAUDON ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-3711
Practice Address - Country:US
Practice Address - Phone:504-442-3361
Practice Address - Fax:504-865-7111
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA117527246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant