Individual
EFREN CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8711 E PINNACLE PEAK RD, SCOTTSDALE, AZ 85255-3517
(602) 336-5351
(602) 569-8308
Mailing address
8711 E PINNACLE PEAK PMB 203, SCOTTSDALE, AZ 85255-3517
(602) 336-5351
(602) 569-8308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29488
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
729262
—
AZ
Enumeration date
10/02/2006
Last updated
04/11/2008
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