Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN STEVENSON
ActiveJUSTIN STEVENSON is a Sports Medicine (EM) healthcare provider located in GLENDALE, Arizona. NPI 1114450699 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · GLENDALE, AZ
Registration Details
- NPI Number
- 1114450699
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2017 (9.3774652053852 yrs)
- Last Updated
- Dec 8, 2025
- Licenses
-
59740 (AZ)59740 (AZ)
Practice Information
- Address
-
4344 W BELL RD STE 102GLENDALE, AZ, 853083589Browse AZ providers · Browse ZIP 85308
- Phone
- 6025884040
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Sports Medicine (EM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.