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Contact Information

ENTICARE PC
17215 N 72ND DR BLDG D
GLENDALE, AZ85308-8558
 Phone: 480-214-9000
 Fax: 480-214-9999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ENTICARE PC

NPI Number 1821853300
LBN Legal business name ENTICARE PC
Authorized official HOMAN MOSTAFAVI - (MEMBER MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2024
Last updated 02/14/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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