Nevra Sisli King-Logsdon in Mesa - Military Health Care Provider

Nevra Sisli King-Logsdon - NPI 1356496079

Nevra Sisli King-Logsdon is a Military Health Care Provider in Mesa, Arizona. Nevra Sisli King-Logsdon practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Nevra Sisli King-Logsdon is 1356496079. The last update date is 2017-04-10.

Nevra Sisli King-Logsdon's current location address is 1520 S Dobson Rd, Mesa, Arizona. You can contact this provider via phone number 4804128080 and fax number 4804126999. The mailing address for Nevra Sisli King-Logsdon is 1520 S Dobson Rd, Mesa, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Nevra Sisli King-Logsdon
Address 1520 S Dobson Rd, Mesa, Arizona
Phone Number 4804128080
Fax Number 4804126999
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1356496079
Provider Enumeration Date 2007-01-24
Last Updated Date 2017-04-10

Provider Mailing Address Detail

Address 1520 S Dobson Rd
City Mesa
State Arizona (AZ)
Post Code 852024725
Phone Number 4804128080
Fax Number 4804126999

Provider's Primary Taxonomy Detail

Speciality Military Health Care Provider
Taxonomy 171000000X
Licence No N1368
Definition:
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
131011 NM NEUROSURGERY RESIDENT

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FAQs about Nevra Sisli King-Logsdon

What is the unique identifier code issued to Nevra Sisli King-Logsdon by the Centers for Medicare & Medicaid Services?

The Nevra Sisli King-Logsdon has been assigned the NPI (National Provider Identifier) 1356496079. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Nevra Sisli King-Logsdon is located?

The Nevra Sisli King-Logsdon is situated at the following address: 1520 S Dobson Rd, Mesa, AZ, 852024725.

What is the Nevra Sisli King-Logsdon's area of specialization and corresponding taxonomy classification?

The Nevra Sisli King-Logsdon's specialty field is Military Health Care Provider, and it falls under the taxonomy code 171000000X, which categorizes healthcare providers based on their specialties.

On what date did the Nevra Sisli King-Logsdon receive the assignment of its 1356496079 from the Centers for Medicare & Medicaid Services?

The Nevra Sisli King-Logsdon was issued its 1356496079 by the Centers for Medicare & Medicaid Services on 2007-01-24.

When was the information pertaining to Nevra Sisli King-Logsdon most recently updated or revised?

The details related to Nevra Sisli King-Logsdon, including its address, specialty, and other relevant information, were last updated or revised on 2017-04-10.

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