Healthcare Provider Details

I. General information

NPI: 1851032429
Provider Name (Legal Business Name): CHRISTI LEE EUDY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 W THOMAS RD
PHOENIX AZ
85037-3332
US

IV. Provider business mailing address

9201 W THOMAS RD
PHOENIX AZ
85037-3332
US

V. Phone/Fax

Practice location:
  • Phone: 623-327-7313
  • Fax: 623-327-5437
Mailing address:
  • Phone: 623-327-7313
  • Fax: 623-327-5437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberR3826
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: