Doctor Name: | PATRICK TAFOYA |
NPI Number: | 1265696702 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 6677 W Thunderbird Rd Ste A124 Glendale, AZ - 853063709 |
Business Phone Number: | 6237732266 |
Business Fax Number: | 6237732267 |
Mailing Address: | 2500 W Utopia Rd, Suite 100 PHOENIX |
State: | AZ |
Postal Code: | 850274171 |
Phone Number: | 6234346200 |
Fax Number: | 6234346164 |
NPI Enumeration Date: | 07/14/2008 |
NPI Last Update Date: | 03/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |