Healthcare Provider Details

I. General information

NPI: 1306229067
Provider Name (Legal Business Name): MA AM EXAMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2015
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1684 E BOSTON ST STE 102
GILBERT AZ
85295-6220
US

IV. Provider business mailing address

1684 E BOSTON ST STE 102
GILBERT AZ
85295-6220
US

V. Phone/Fax

Practice location:
  • Phone: 480-448-2411
  • Fax:
Mailing address:
  • Phone: 804-448-2411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL PATRICK DUNN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 480-448-2411