Healthcare Provider Details

I. General information

NPI: 1518024124
Provider Name (Legal Business Name): EDNA JOYCE HELMUTH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EDNA JOYCE OBAR M.D.

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 09/18/2020
Certification Date: 09/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10005 E OSBORN RD
SCOTTSDALE AZ
85256-4019
US

IV. Provider business mailing address

10005 E OSBORN RD
SCOTTSDALE AZ
85256-4019
US

V. Phone/Fax

Practice location:
  • Phone: 602-263-1200
  • Fax: 602-200-5383
Mailing address:
  • Phone: 480-362-7400
  • Fax: 480-362-2627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number32992
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: