Provider Demographics
NPI:1932225802
Name:HORROCKS, STEVEN C (DO)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:HORROCKS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9311
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-9311
Mailing Address - Country:US
Mailing Address - Phone:623-544-0101
Mailing Address - Fax:623-544-0981
Practice Address - Street 1:14239 W BELL RD
Practice Address - Street 2:STE 225
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-2469
Practice Address - Country:US
Practice Address - Phone:623-544-0101
Practice Address - Fax:623-544-0981
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ5062207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ494030Medicaid