Whalio Doctors

NPI 1295715050

Stephen a Ovanessoff, MD

Practitioner Anatomic Pathology Physician Tempe, AZ

Practice location

Address
1255 W Washington St, Tempe, AZ 85281-1210
Phone
(602) 685-5211
Fax
(623) 889-7407
Mailing address
PO Box 42210, Phoenix, AZ 85080-2210

Registered specialties

Anatomic Pathology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZP0101X Licence 18432 (AZ)

Registry record

NPI
1295715050
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Jan 2006
Record last updated
15 Aug 2013

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.