Basic Information
| Provider Information | |||||||||
| NPI: | 1942429923 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | NO APPOINTMENT MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 60123 | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85082 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6237732266 | ||||||||
| FaxNumber: | 6237732267 | ||||||||
| Practice Location | |||||||||
| Address1: | 12235 N CAVE CREEK RD. | ||||||||
| Address2: | SUITE 9 | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85022 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6237732266 | ||||||||
| FaxNumber: | 6237732267 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2007 | ||||||||
| LastUpdateDate: | 08/03/2010 | ||||||||
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| AuthorizedOfficialLastName: | LEWELLING | ||||||||
| AuthorizedOfficialFirstName: | SONIA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 6237732266 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM2500X | Y | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |
No ID Information.