Individual
DR. ERWINA UNGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
NORTHERN ARIZONA VA HCS, 500 N. HWY 89, PRESCOTT, AZ 86313
(928) 445-4860
Mailing address
1549 MAJESTIC WAY, PRESCOTT, AZ 86301
(928) 776-5976
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A6523
CA
207P00000X
Emergency Medicine Physician
Primary
3690
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020A65230
—
CA
Enumeration date
07/24/2006
Last updated
07/08/2007
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