Mr Steven K Dahlke, MD PEDIATRICS | |
1590 Paseo San Luis, Suite 102, Sierra Vista, AZ 85635-4782 | |
(520) 459-0203 | |
(520) 364-4261 |
Full Name | Mr Steven K Dahlke |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1590 Paseo San Luis, Sierra Vista, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710976337 | NPI | - | NPPES |
805290700 | Medicaid | ID | |
DX142 | Other | ID | BLUE CROSS OF ID |
000010004986 | Other | ID | REGENCE BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M7658 (Idaho) | Secondary |
208000000X | Pediatrics | 50097 (Arizona) | Primary |
Entity Name | Chiricahua Community Health Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241443 PECOS PAC ID: 5395638878 Enrollment ID: O20040206000860 |
Mailing Address | Practice Location Address |
---|---|
Mr Steven K Dahlke, MD PEDIATRICS 1205 F Ave, Douglas, AZ 85607-1920 Ph: (520) 364-1429 | Mr Steven K Dahlke, MD PEDIATRICS 1590 Paseo San Luis, Suite 102, Sierra Vista, AZ 85635-4782 Ph: (520) 459-0203 |
Dr. Jeffrey H Hill, M.D., PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 5700 E Highway 90 Fl 4, Sierra Vista, AZ 85635 Phone: 520-263-3500 | |
Dr. Kathleen Jane Vedock, DO, FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 155 Calle Portal, Suite 700, Sierra Vista, AZ 85635 Phone: 520-459-0203 Fax: 520-364-4261 | |
Ms. Joselita M Abeleda, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1590 Paseo San Luis, Ste 102, Sierra Vista, AZ 16354 Phone: 520-459-0203 Fax: 520-364-4261 | |
Dr. Stella C Raposas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 155 Calle Portal Ste 700, Sierra Vista, AZ 85635 Phone: 520-459-0203 Fax: 520-515-8663 | |
Rita Kilgore, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 155 Calle Portal Ste 700, Sierra Vista, AZ 85635 Phone: 520-459-0203 Fax: 520-364-4261 |