Stuart, Stephen Bruce
Stuart, Stephen Bruce is an individual health care provider with primary practice located at 804 Ainsworth Dr Suite 102, Prescott AZ 86301-1624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Stuart, Stephen Bruce can be contacted via phone (928) 776-0601.Contact Information
Primary practice address
804 Ainsworth Dr Suite 102
Prescott AZ 86301-1624
Phone: (928) 776-0601
Fax: (928) 776-0620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 34286 | Arizona |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 34286 | Arizona |
Profile Details
| NPI number | 1194729004 |
|---|---|
| LBN Legal business name | Stuart, Stephen Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Sep 29th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194729004 | NPPES |
| Arizona | MEDICAID | 499972 | |
| Arizona | Other | P00249737 |
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