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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