Organization
EFREN CASANOVA MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY L MORAN (BILLING MANAGER)
(602) 347-6620
Entity
Organization
Contact information
Practice address
8711 E PINNACLE PEAK RD, PMB #203, SCOTTSDALE, AZ 85255-3517
(602) 347-6620
(602) 569-8308
Mailing address
8711 E PINNACLE PEAK RD, PMB #203, SCOTTSDALE, AZ 85255-3517
(602) 347-6620
(602) 569-8308
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29488
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
729262
—
AZ
Enumeration date
05/27/2008
Last updated
05/27/2008
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