Organization
ANITA DAI MD INTEGRATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION LATSKO (OFFICE MANAGER)
(480) 888-5421
Entity
Organization
Contact information
Practice address
10404 W COGGINS DR, STE 118, SUN CITY, AZ 85351-3465
(623) 972-1055
(623) 972-1185
Mailing address
1909 E RAY RD, STE 9-154, CHANDLER, AZ 85225-8724
(480) 888-5421
(855) 847-8908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37198
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228405
—
AZ
01
—
37198
MEDICAL LICENSE
AZ
Enumeration date
11/28/2011
Last updated
07/06/2015
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