Organization Name: | AMERICAN PHYSICAL MEDICINE INC |
NPI Number: | 1528405263 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN A GENET (VICE PRESIDENT) |
Mailing Address: | 8417 E Mcdowell Rd Scottsdale |
State: | AZ US |
Postal Code: | 852573917 |
Phone Number: | 4809463399 |
Fax Number: | 4809462559 |
NPI Enumeration Date: | 06/03/2013 |
NPI Last Update Date: | 06/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |