Basic Information
Provider Information
NPI: 1730134750
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PLANTING
FirstName: LOYD
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 32651 N. NORTH VALLEY PARKWAY
Address2: 140
City: PHOENIX
State: AZ
PostalCode: 85085
CountryCode: US
TelephoneNumber: 5202501845
FaxNumber:  
Practice Location
Address1: 4330 W UNION HILLS DR
Address2: SUITE B1
City: GLENDALE
State: AZ
PostalCode: 853081643
CountryCode: US
TelephoneNumber: 6238696811
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/24/2006
LastUpdateDate: 11/30/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X7713AZY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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