Healthcare Provider Details

I. General information

NPI: 1275670408
Provider Name (Legal Business Name): ATEN CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 04/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3337 N MILLER RD STE. 102
SCOTTSDALE AZ
85251-6495
US

IV. Provider business mailing address

3337 N MILLER RD STE. 102
SCOTTSDALE AZ
85251-6495
US

V. Phone/Fax

Practice location:
  • Phone: 480-990-1280
  • Fax: 480-990-1410
Mailing address:
  • Phone: 480-990-1280
  • Fax: 480-990-1410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number27055
License Number StateAZ

VIII. Authorized Official

Name: DR. ANGELO CHIRBAN
Title or Position: PRESIDENT & MEDICAL DIRECTOR
Credential: M.D.
Phone: 480-990-1280