Organization
PARADISE VALLEY MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS M LAKIN M.D. (PHYSICIAN)
(480) 614-5800
Entity
Organization
Contact information
Practice address
9977 N 90TH ST, STE 180, SCOTTSDALE, AZ 85258-4423
(480) 614-5800
(480) 614-6322
Mailing address
9977 N 90TH ST, STE 180, SCOTTSDALE, AZ 85258-4423
(480) 614-5800
(480) 614-6322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19362
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19362
STATE MEDICAL LISCENSE
AZ
Enumeration date
07/30/2013
Last updated
03/07/2023
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