Organization Name: | HYADOC CONSULTANTS |
NPI Number: | 1750579801 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEARL H BROWNE (OWNER) |
Mailing Address: | 3303 S Lindsay Rd Suite 125 Gilbert |
State: | AZ US |
Postal Code: | 852971503 |
Phone Number: | 4809178884 |
Fax Number: | 4809373339 |
NPI Enumeration Date: | 10/12/2007 |
NPI Last Update Date: | 10/12/2007 |
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: |