Michael D Dersam is a Specialist in Phoenix, Arizona. Michael D Dersam practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michael D Dersam is 1477539302. The last update date is 2021-06-07.
Michael D Dersam's current location address is 500 W. Thomas Road, Suite 850, Phoenix, Arizona. You can contact this provider via phone number 6024062669 and fax number 6024068889. The mailing address for Michael D Dersam is 500 W. Thomas Road, Suite 850, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael D Dersam |
---|---|
Address | 500 W. Thomas Road, Suite 850, Phoenix, Arizona |
Phone Number | 6024062669 |
Fax Number | 6024068889 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1477539302 |
---|---|
Provider Enumeration Date | 2005-12-22 |
Last Updated Date | 2021-06-07 |
Provider Mailing Address Detail
Address | 500 W. Thomas Road, Suite 850 |
---|---|
City | Phoenix |
State | Arizona (AZ) |
Post Code | 85013 |
Phone Number | 6024062669 |
Fax Number | 6024068889 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | 30263 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael D Dersam by the Centers for Medicare & Medicaid Services?
The Michael D Dersam has been issued the NPI (National Provider Identifier) 1477539302, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michael D Dersam is physically located?
The Michael D Dersam is situated at the following address: 500 W. Thomas Road, Suite 850, Phoenix, AZ 85013.
What is the Michael D Dersam's area of specialization and corresponding taxonomy classification?
The Michael D Dersam's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did the Michael D Dersam receive its 1477539302?
The Michael D Dersam was issued its 1477539302 on 2005-12-22, which is the date when the organization was assigned this unique identifier.
As of what date were the Michael D Dersam's details last updated?
The information pertaining to the Michael D Dersam, including its address, specialty, and other details, was most recently updated on 2021-06-07.