Bravo, Stephanie Catherine

Bravo, Stephanie Catherine is an individual health care provider with primary practice located at 4716 E Burns St , Tucson AZ 85711-3015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Bravo, Stephanie Catherine can be contacted via phone (520) 990-3222.

Contact Information

Primary practice address
4716 E Burns St Tucson AZ 85711-3015
Fax: (520) 867-6409
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 43580 Arizona

Profile Details

NPI number 1194917716
LBN Legal business name Bravo, Stephanie Catherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Sep 13th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194917716 NPPES
Arizona Other Z145166 MEDICARE

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