Organization Name: | EFREN CASANOVA MD, PC |
NPI Number: | 1194983296 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BECKY L MORAN (BILLING MANAGER) |
Mailing Address: | 8711 E Pinnacle Peak Rd Pmb #203 Scottsdale |
State: | AZ US |
Postal Code: | 852553517 |
Phone Number: | 6023476620 |
Fax Number: | 6025698308 |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 05/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 29488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |