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
Authorized Official Name Dersam Daniel Michael
Credentials MD
Telephone Number 6026676640

NPI Number Detail

NPI Number 1821269374
Provider Enumeration Date 2008-03-12
Last Updated Date 2018-03-15

Provider Mailing Address Detail

Address 2222 E Highland Ave
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.

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FAQs about Michael D Dersam Md Pc

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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