Basic Information
Provider Information
NPI: 1578039053
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOCCI
FirstName: STEVEN
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: DPM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 18444 N 25TH AVE STE 310
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850231266
CountryCode: US
TelephoneNumber: 6697426738
FaxNumber: 8669392673
Practice Location
Address1: 18444 N 25TH AVE STE 210
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850231264
CountryCode: US
TelephoneNumber: 8669742673
FaxNumber: 8669392673
Other Information
ProviderEnumerationDate: 10/22/2018
LastUpdateDate: 08/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
213ES0103X18372-875WIN Podiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
213ES0103XPOD-001044AZY Podiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery

No ID Information.


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