Provider Demographics
NPI:1730540535
Name:KAUFER, STEVEN
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:KAUFER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:
Other - Last Name:KAUFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:8826 N 23RD AVE
Mailing Address - Street 2:C 2
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-4154
Mailing Address - Country:US
Mailing Address - Phone:602-995-1320
Mailing Address - Fax:602-995-9114
Practice Address - Street 1:8826 N 23RD AVE
Practice Address - Street 2:C 2
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-4154
Practice Address - Country:US
Practice Address - Phone:602-995-1320
Practice Address - Fax:602-995-9114
Is Sole Proprietor?:No
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0080021835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZS008002OtherPHARMACIST LICENSE