Michael D Dersam Md Pc in Phoenix - Specialist
Michael D Dersam Md Pc - NPI 1821269374
Michael D Dersam Md Pc is a Specialist in Phoenix, Arizona. Michael D Dersam Md Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michael D Dersam Md Pc is 1821269374. The last update date is 2018-03-15.
Michael D Dersam Md Pc's current location address is 2222 E Highland Ave, Phoenix, Arizona. You can contact this provider via phone number 6026676640 and fax number 6025222677. The mailing address for Michael D Dersam Md Pc is 2222 E Highland Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Michael D Dersam Md Pc |
---|---|
Address | 2222 E Highland Ave, Phoenix, Arizona |
Phone Number | 6026676640 |
Fax Number | 6025222677 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Dersam Daniel Michael |
Credentials | MD |
Telephone Number | 6026676640 |
NPI Number Detail
NPI Number | 1821269374 |
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Provider Enumeration Date | 2008-03-12 |
Last Updated Date | 2018-03-15 |
Provider Mailing Address Detail
Address | 2222 E Highland Ave |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 85016 |
Phone Number | 6026676640 |
Fax Number | 6025222677 |
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 identifier code issued to Michael D Dersam Md Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Michael D Dersam Md Pc has been assigned the NPI (National Provider Identifier) 1821269374. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Michael D Dersam Md Pc located?
The Michael D Dersam Md Pc is located at 2222 E Highland Ave, Phoenix, AZ 85016.
What is Michael D Dersam Md Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael D Dersam Md Pc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date was the 1821269374 assigned to Michael D Dersam Md Pc?
The Michael D Dersam Md Pc was issued its 1821269374 on 2008-03-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Michael D Dersam Md Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael D Dersam Md Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-03-15.
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