Doctor Name: | ERNESTINE BUSTAMANTE |
NPI Number: | 1427030469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 30366 |
Business Practice Address: | 1950 W Frye Rd Chandler, AZ - 852246255 |
Business Phone Number: | 4808959555 |
Business Fax Number: | 4809612332 |
Mailing Address: | 1661 E Camelback Rd, PHOENIX |
State: | AZ |
Postal Code: | 850163911 |
Phone Number: | 6024229012 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2005 |
NPI Last Update Date: | 11/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 30366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |