Individual
ERNEST DORAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16601 N 40TH ST, SUITE B-120, PHOENIX, AZ 85032-3345
(602) 923-7730
(602) 923-7833
Mailing address
3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
(602) 933-1820
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12349
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207870
—
AZ
Enumeration date
11/09/2005
Last updated
03/07/2023
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