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Organization

ARIZONA OTOLOGIC ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES PHILLIP DASPIT M.D. (PRESIDENT)
(602) 279-5444
Entity
Organization

Contact information

Practice address
222 W THOMAS RD, SUITE 114, PHOENIX, AZ 85013-4419
(602) 279-5444
(602) 279-0188
Mailing address
222 W THOMAS RD, SUITE 114, PHOENIX, AZ 85013-4419
(602) 279-5444
(602) 279-0188

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11391
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
229379
AZ
Enumeration date
10/03/2008
Last updated
10/03/2008
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