Michael D Dersam in Phoenix - Orthopaedic Surgery
Michael D Dersam - NPI 1477539302
Michael D Dersam is a Orthopaedic Surgery in Phoenix, Arizona. Michael D Dersam practices all healthcare services and medical treatments related to Orthopaedic Surgery. 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 | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 30263 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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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 Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, 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.