Individual
MR. AFEWORKI OCBAGHIORGIS KIDANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1985 E CHANDLER BLVD, CHANDLER, AZ 85225-5110
(602) 755-0800
(602) 560-2721
Mailing address
3003 N CENTRAL AVE STE 1175, PHOENIX, AZ 85012-0002
(888) 698-6727
(602) 564-6246
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
4458
AZ
207R00000X
Internal Medicine Physician
Primary
4458
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3480230
—
MI
Enumeration date
01/23/2006
Last updated
06/10/2022
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