Healthcare Provider Details

I. General information

NPI: 1306198437
Provider Name (Legal Business Name): JAMES DANIEL STYRE DVM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2012
Last Update Date: 10/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10825 N TATUM BLVD
PHOENIX AZ
85028-3055
US

IV. Provider business mailing address

3209 W SALTER DR
PHOENIX AZ
85027-2200
US

V. Phone/Fax

Practice location:
  • Phone: 480-609-9695
  • Fax:
Mailing address:
  • Phone: 602-578-5296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number3148
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: