Organization
CENTER FOR TRANSITIONAL CARE MEDICINE, PLLC
Active
Organization
CENTER FOR TRANSITIONAL CARE MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDNA KAST MANAGER (CREDENTIALING MANAGER)
(602) 513-6598
Entity
Organization
Contact information
Practice address
2501 E SOUTHERN AVE, STE 1, TEMPE, AZ 85282-7669
(480) 755-2210
(480) 755-2364
Mailing address
233 E SOUTHERN AVE, #27776, TEMPE, AZ 85282-5189
(480) 755-2210
(480) 755-2364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33212
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913550
—
AZ
Enumeration date
12/17/2015
Last updated
12/17/2015
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