Provider Demographics
NPI:1871920959
Name:KATZ, STEVEN CHARLES (NMD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:CHARLES
Last Name:KATZ
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4918 W WICKIEUP LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-9231
Mailing Address - Country:US
Mailing Address - Phone:480-332-9815
Mailing Address - Fax:
Practice Address - Street 1:9200 E RAINTREE DR STE 150
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-7305
Practice Address - Country:US
Practice Address - Phone:480-451-6161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13-1391175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath