Carissa Dawn Colgrove in Tempe - Medical
Carissa Dawn Colgrove - NPI 1376635581
Carissa Dawn Colgrove is a Medical in Tempe, Arizona. Carissa Dawn Colgrove practices all healthcare services and medical treatments related to Medical. The NPI Number for Carissa Dawn Colgrove is 1376635581. The last update date is 2023-08-17.
Carissa Dawn Colgrove's current location address is 2720 W Baseline Rd Ste 140, Tempe, Arizona. You can contact this provider via phone number 6027776000 and fax number 6024386550. The mailing address for Carissa Dawn Colgrove is 2720 W Baseline Rd Ste 140, Tempe, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carissa Dawn Colgrove |
|---|---|
| Address | 2720 W Baseline Rd Ste 140, Tempe, Arizona |
| Phone Number | 6027776000 |
| Fax Number | 6024386550 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1376635581 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2023-08-17 |
Provider Mailing Address Detail
| Address | 2720 W Baseline Rd Ste 140 |
|---|---|
| City | Tempe |
| State | Arizona (AZ) |
| Post Code | 852831065 |
| Phone Number | 6027776000 |
| Fax Number | 6024386550 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 312 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the Carissa Dawn Colgrove's 1376635581?
The Carissa Dawn Colgrove's NPI (National Provider Identifier) Number is 1376635581. 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 street address where Carissa Dawn Colgrove is physically located?
The Carissa Dawn Colgrove is physically situated at the following address: 2720 W Baseline Rd Ste 140, Tempe, AZ, 852831065.
What is the Carissa Dawn Colgrove's specialty and taxonomy code?
The Carissa Dawn Colgrove's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did the Carissa Dawn Colgrove receive its 1376635581?
The Carissa Dawn Colgrove was issued its 1376635581 on 2006-09-28, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Carissa Dawn Colgrove most recently updated or revised?
The details related to Carissa Dawn Colgrove, including its address, specialty, and other relevant information, were last updated or revised on 2023-08-17.
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