Doctor Name: | HERBERT H BUNCHMAN |
NPI Number: | 1487633186 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 8713 |
Business Practice Address: | 1520 S Dobson Rd Suite 314 Mesa, AZ - 852024725 |
Business Phone Number: | 4808335200 |
Business Fax Number: | 4808332967 |
Mailing Address: | 1520 S Dobson Rd, Suite 314 MESA |
State: | AZ |
Postal Code: | 852024725 |
Phone Number: | 4808335200 |
Fax Number: | 4808332967 |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 08/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 8713 |
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. |