Individual
DR. DAVID W HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
250 E DUNLAP AVE, JOHN C LINCOLN HOSPITAL, ED, PHOENIX, AZ 85020-1350
(602) 870-6353
Mailing address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 317-1182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2815
AZ
207P00000X
Emergency Medicine Physician
5101009929
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11-5197553
—
MI
05
—
11-5197660
—
MI
05
—
142745
—
AZ
Enumeration date
06/26/2006
Last updated
11/24/2010
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