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Individual

DR. TORY LANCE MCJUNKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9787 N 91ST ST, SUITE 101, SCOTTSDALE, AZ 85258-5088
(480) 563-6400
(480) 563-8009
Mailing address
9787 N 91ST ST, SUITE 101, SCOTTSDALE, AZ 85258-5088
(480) 563-6400
(480) 563-8009

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35497
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
229728
AZ
01
P00425651
RAILROAD MEDICARE
AZ
Enumeration date
02/21/2007
Last updated
07/24/2008
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