A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI Number | 1982090338 |
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| LBN Legal business name | ARIZONA BLEEDING DISORDERS HEALTH AND WELLNESS CENTER | ||||||||
| Authorized official | KIRBY HOLLIDAY - (CREDENTIALING MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/13/2015 | ||||||||
| Last updated | 07/06/2015 - About 11 years ago | ||||||||
| Identifiers |
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