Michael Farris Waters in Phoenix - Vascular Neurology
Michael Farris Waters - NPI 1629140561
Michael Farris Waters is a Vascular Neurology in Phoenix, Arizona. Michael Farris Waters practices all healthcare services and medical treatments related to Vascular Neurology. The NPI Number for Michael Farris Waters is 1629140561. The last update date is 2022-05-27.
Michael Farris Waters's current location address is 2910 N 3rd Ave # 470, Phoenix, Arizona. You can contact this provider via phone number 6024066262 and fax number 6024066261. The mailing address for Michael Farris Waters is 2910 N 3rd Ave # 470, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Farris Waters |
|---|---|
| Address | 2910 N 3rd Ave # 470, Phoenix, Arizona |
| Phone Number | 6024066262 |
| Fax Number | 6024066261 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629140561 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2022-05-27 |
Provider Mailing Address Detail
| Address | 2910 N 3rd Ave # 470 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850134434 |
| Phone Number | 6024066262 |
| Fax Number | 6024066261 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Neurology |
|---|---|
| Taxonomy | 2084V0102X |
| Licence No | 52108 |
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Definition: Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a lar |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 279658900 | FL | -- |
Post Comment/ Review Below
What is the Michael Farris Waters's 1629140561?
The Michael Farris Waters's NPI (National Provider Identifier) Number is 1629140561. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael Farris Waters?
The Michael Farris Waters is physically situated at 2910 N 3Rd Ave # 470, in the city of Phoenix, state of AZ, with the postal code 850134434.
When was the Michael Farris Waters's 1629140561 issued?
The Michael Farris Waters's 1629140561 was issued on 2006-11-15.
On what date did the Centers for Medicare & Medicaid Services issue the 1629140561 to Michael Farris Waters?
The Michael Farris Waters received its 1629140561 assignment from the Centers for Medicare & Medicaid Services on 2006-11-15.
When was the information pertaining to Michael Farris Waters most recently updated or revised?
The details related to Michael Farris Waters, including its address, specialty, and other relevant information, were last updated or revised on 2022-05-27.
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