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1619221074 NPI number — DESERT MEDICAL CONSULTANTS

NPI Number: 1619221074
Health Care Provider/Practitioner: DESERT MEDICAL CONSULTANTS

Information about “1619221074” NPI (DESERT MEDICAL CONSULTANTS) exists in 1619221074 in HTML format HTML  |  1619221074 in plain Text format TXT  |  1619221074 in PDF (Portable Document Format) PDF  |  1619221074 in an XML format XML  formats.

NPI Number : 1619221074 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619221074",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DESERT MEDICAL CONSULTANTS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15029 N THOMPSON PEAK PKWY",
    "SecondLineMailingAddress": "SUITE B111 #571",
    "MailingAddressCityName": "SCOTTSDALE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85260-2217",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-200-9035",
    "MailingAddressFaxNumber": "480-621-5703",
    "FirstLinePracticeLocationAddress": "15029 N THOMPSON PEAK PKWY",
    "SecondLinePracticeLocationAddress": "SUITE B111 #571",
    "PracticeLocationAddressCityName": "SCOTTSDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85260-2217",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-200-9035",
    "PracticeLocationAddressFaxNumber": "480-621-5703",
    "EnumerationDate": "11/06/2012",
    "LastUpdateDate": "11/06/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EVANS",
    "AuthorizedOfficialFirstName": "JAMES",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "480-200-9035",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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