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NPI Code Detail

MEDICARE: DAVID DUANE KAHLSTORF ARDMS, RDCS(AE)

MEDICARE:   DAVID DUANE KAHLSTORF  ARDMS, RDCS(AE)
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246XS1301XSonography Specialist/Technologist Cardiovascular22125AZ

General Provider Information

NPI Number : 1093871063
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID DUANE KAHLSTORF ARDMS, RDCS(AE)
Provider Business Mailing Address
First Line : 1801 E SHEENA DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-4533
Country : US
Telephone Number : 623-206-6180
Fax Number :
Provider Business Practice Location Address
First Line : 1801 E SHEENA DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-4533
Country : US
Telephone Number : 623-206-6180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2006
Last Update Date : 07/08/2007

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Directions to “ DAVID DUANE KAHLSTORF ARDMS, RDCS(AE)” Practice Location

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