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Organization
TRIPODCARE
Active
Organization
TRIPODCARE
Active
Other names
TRIPODCARE, TRIPODCARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN ANDONG NDUM (MANAGER)
(785) 313-3803
Entity
Organization
Contact information
Practice address
1441 W LARK DR, CHANDLER, AZ 85286-8323
(785) 313-3803
Mailing address
1441 W LARK DR, CHANDLER, AZ 85286-8323
(785) 313-3803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
251E00000X
Home Health Agency
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D10922359
DRIVER LICENSE ID CARD NUMBER
AZ
Enumeration date
12/27/2019
Last updated
01/30/2020
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