Stefan Iacob is a Medical in Surprise, Arizona. Stefan Iacob practices all healthcare services and medical treatments related to Medical. The NPI Number for Stefan Iacob is 1851437503. The last update date is 2023-05-03.
Stefan Iacob's current location address is 14239 W Bell Rd Ste 108, Surprise, Arizona. You can contact this provider via phone number 6232484283 and fax number 6234404255. The mailing address for Stefan Iacob is 14239 W Bell Rd Ste 108, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stefan Iacob |
|---|---|
| Address | 14239 W Bell Rd Ste 108, Surprise, Arizona |
| Phone Number | 6232484283 |
| Fax Number | 6234404255 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1851437503 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2023-05-03 |
Provider Mailing Address Detail
| Address | 14239 W Bell Rd Ste 108 |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 8537424700 |
| Phone Number | 6232484283 |
| Fax Number | 6234404255 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 3467 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 438998 | AZ | -- |
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What is the unique 10-digit identification code issued to Stefan Iacob by the Centers for Medicare & Medicaid Services?
The Stefan Iacob has been assigned the NPI (National Provider Identifier) 1851437503 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Stefan Iacob is geographically located?
The Stefan Iacob is physically situated at the following location: 14239 W Bell Rd Ste 108, Surprise, AZ, 8537424700.
What is Stefan Iacob's area of expertise and its corresponding taxonomy classification?
The Stefan Iacob's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Stefan Iacob receive its 1851437503 assignment from the Centers for Medicare & Medicaid Services?
The Stefan Iacob was assigned its 1851437503 on 2007-01-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Stefan Iacob most recently updated or revised?
The details related to Stefan Iacob, including its address, specialty, and other relevant information, were last updated or revised on 2023-05-03.
NPI Number: 1932102142
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