Doctor Name: | DR. PHILIP TO |
NPI Number: | 1336313725 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D, |
License Number: | |
Business Practice Address: | 5620 E Bell Rd Scottsdale, AZ - 852545950 |
Business Phone Number: | 6024939361 |
Business Fax Number: | 6028890612 |
Mailing Address: | Po Box 29870, PHOENIX |
State: | AZ |
Postal Code: | 850389870 |
Phone Number: | 6027723800 |
Fax Number: | 6027723801 |
NPI Enumeration Date: | 04/16/2008 |
NPI Last Update Date: | 07/29/2014 |
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. |