Doctor Name: | DR. PERRY S HISCOK |
NPI Number: | 1003870726 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 27471 |
Business Practice Address: | 7111 W Bell Rd Suite 104 Glendale, AZ - 853088551 |
Business Phone Number: | 6235334465 |
Business Fax Number: | |
Mailing Address: | Po Box 27340, PHOENIX |
State: | AZ |
Postal Code: | 850617340 |
Phone Number: | 6029439200 |
Fax Number: | 6022163000 |
NPI Enumeration Date: | 04/12/2006 |
NPI Last Update Date: | 12/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 27471 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |