Provider Demographics
NPI:1285734962
Name:ABRAMS, STEVEN JOEL (DPM)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOEL
Last Name:ABRAMS
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Gender:M
Credentials:DPM
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Mailing Address - Street 1:1845 W ORANGE GROVE RD
Mailing Address - Street 2:STE 125
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1146
Mailing Address - Country:US
Mailing Address - Phone:520-297-7209
Mailing Address - Fax:520-297-0508
Practice Address - Street 1:1845 W ORANGE GROVE RD
Practice Address - Street 2:137
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1134
Practice Address - Country:US
Practice Address - Phone:520-297-7209
Practice Address - Fax:520-297-0508
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2016-06-23
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Provider Licenses
StateLicense IDTaxonomies
AZ164213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ86043917885704OtherTRICARE
AZ756480752OtherRAIL ROAD MEDICARE
AZAZ0065980OtherBLUE CROSS
AZAZ0065980OtherBLUE SHIELD
AZ86043917885704OtherTRICARE