Basic Information
| Provider Information | |||||||||
| NPI: | 1063478188 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MADY | ||||||||
| FirstName: | ATTILA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2782 | ||||||||
| Address2: | |||||||||
| City: | BLAINE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982312782 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7024533799 | ||||||||
| FaxNumber: | 7024535741 | ||||||||
| Practice Location | |||||||||
| Address1: | 5880 S HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | GLOBE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7024533799 | ||||||||
| FaxNumber: | 7024535741 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2006 | ||||||||
| LastUpdateDate: | 10/22/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | AZ24825 | AZ | N | Allopathic & Osteopathic Physicians | Dermatology | 207RC0000X | AZ24825 | AZ | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RG0300X | AZ24825 | AZ | N | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine | 207XX0005X | AZ24825 | AZ | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | 207R00000X | G77797 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.