Organization
EAST VALLEY INTERNISTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON WHITE (OFFICE MANAGER)
(602) 395-0718
Entity
Organization
Contact information
Practice address
1898 E SOUTHERN AVE, TEMPE, AZ 85282
(480) 838-0068
(480) 838-3409
Mailing address
1898 E SOUTHERN AVE, TEMPE, AZ 85282
(480) 838-0068
(480) 838-3409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412908
—
AZ
Enumeration date
02/01/2006
Last updated
08/16/2010
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