National Provider Identifier Database

BDMC MED PRO FEES
Health Service


Contact Information

BDMC MED PRO FEES
1400 S DOBSON RD
MESA, AZ85202-4707
Phone: 480-835-3000
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for BDMC MED PRO FEES

NPI Number 1104861392
Legal business name
LBN
BDMC MED PRO FEES
Authorized official DENNIS DAHLEN - (SR VICE PRESIDENT FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 06/19/2006
Last updated 10/15/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 938201

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BDMC MED PRO FEES

There are currently no reviews for BDMC MED PRO FEES


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