Susan Del Sordi-Staat in Phoenix - Family Medicine
Susan Del Sordi-Staat - NPI 1902096092
Susan Del Sordi-Staat is a Family Medicine in Phoenix, Arizona. Susan Del Sordi-Staat practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan Del Sordi-Staat is 1902096092. The last update date is 2023-03-07.
Susan Del Sordi-Staat's current location address is 11209 N Tatum Blvd Ste 160, Phoenix, Arizona. You can contact this provider via phone number 4802852180 and fax number 4802852182. The mailing address for Susan Del Sordi-Staat is 11209 N Tatum Blvd Ste 160, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Del Sordi-Staat |
|---|---|
| Address | 11209 N Tatum Blvd Ste 160, Phoenix, Arizona |
| Phone Number | 4802852180 |
| Fax Number | 4802852182 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1902096092 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 11209 N Tatum Blvd Ste 160 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850283092 |
| Phone Number | 4802852180 |
| Fax Number | 4802852182 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4490 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4490 | AZ | AZ STATE LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Susan Del Sordi-Staat by the Centers for Medicare & Medicaid Services?
The Susan Del Sordi-Staat has been issued the NPI (National Provider Identifier) 1902096092. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susan Del Sordi-Staat?
The Susan Del Sordi-Staat is physically situated at 11209 N Tatum Blvd Ste 160, in the city of Phoenix, state of AZ, with the postal code 850283092.
What is Susan Del Sordi-Staat's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan Del Sordi-Staat is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Susan Del Sordi-Staat receive its 1902096092 assignment from the Centers for Medicare & Medicaid Services?
The Susan Del Sordi-Staat was assigned its 1902096092 by the Centers for Medicare & Medicaid Services on 2007-07-26.
When was the information related to Susan Del Sordi-Staat most recently updated or refreshed?
The details pertaining to the Susan Del Sordi-Staat, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC