Organization
EMERGENCY PROFESSIONAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
501 N NAVAJO DR, PAGE, AZ 86040-9998
(480) 421-9700
(480) 421-9899
Mailing address
PO BOX 15070, SCOTTSDALE, AZ 85267-5070
(408) 421-9700
(480) 421-9899
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299839
—
AZ
Enumeration date
10/15/2009
Last updated
09/24/2019
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