Breast Care Pc in Phoenix - Surgery

Breast Care Pc - NPI 1154366029

Breast Care Pc is a Surgery in Phoenix, Arizona. Breast Care Pc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Breast Care Pc is 1154366029. The last update date is 2007-10-03.

Breast Care Pc's current location address is 16620 N 40th St, Phoenix, Arizona. You can contact this provider via phone number 6029715002 and fax number 6023684638. The mailing address for Breast Care Pc is 16620 N 40th St, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Breast Care Pc
Address 16620 N 40th St, Phoenix, Arizona
Phone Number 6029715002
Fax Number 6023684638
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Bourne S. Christi
Credentials M.D.
Telephone Number 6029715002

NPI Number Detail

NPI Number 1154366029
Provider Enumeration Date 2006-06-17
Last Updated Date 2007-10-03

Provider Mailing Address Detail

Address 16620 N 40th St
City Phoenix
State Arizona (AZ)
Post Code 850323348
Phone Number 6029715002
Fax Number 6023684638

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 19443
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Breast Care Pc

What is the unique identifier code issued to Breast Care Pc by the Centers for Medicare & Medicaid Services?

The Breast Care Pc has been assigned the NPI (National Provider Identifier) 1154366029. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Breast Care Pc is physically located?

The Breast Care Pc is situated at the following address: 16620 N 40Th St, Phoenix, AZ 850323348.

What is Breast Care Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Breast Care Pc is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1154366029 to Breast Care Pc?

The Breast Care Pc received its 1154366029 assignment from the Centers for Medicare & Medicaid Services on 2006-06-17.

As of what date were the details related to Breast Care Pc most recently updated or revised?

The information pertaining to Breast Care Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-03.

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