NPI 1114450699

Justin Stevenson

Practitioner Sports Medicine (Emergency Medicine) Physician Glendale, AZ

Practice location

Address: 4344 W Bell Rd STE 102, Glendale, AZ 85308-3589
Phone: (602) 588-4040
Mailing address: 6219 N 13th St, Phoenix, AZ 85014-1736

Registered specialties (2)

Sports Medicine (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PS0010X Licence 59740 (AZ)

Other Emergency Medicine providers in Arizona →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 59740 (AZ)

Registry record

NPI: 1114450699
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2017
Record last updated: 8 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.