Healthcare Provider Details

I. General information

NPI: 1255415253
Provider Name (Legal Business Name): LINDA ALVAREZ-THULL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10250 N 92ND ST #114
SCOTTSDALE AZ
85258-4510
US

IV. Provider business mailing address

10250 N 92ND ST #114
SCOTTSDALE AZ
85258-4510
US

V. Phone/Fax

Practice location:
  • Phone: 480-661-6184
  • Fax: 480-661-6971
Mailing address:
  • Phone: 480-661-6184
  • Fax: 480-661-6971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number23830
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: